[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-106-1-psychiatric-community-005":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"lastmod":63},"精神科與社區衛生護理學","psychiatric-community",{"id":7,"webId":8,"year":9,"session":10,"subject":4,"number":11,"stem":12,"options":13,"answer":18,"answerNote":19,"images":20,"explanation":21,"explanationDeep":22,"topics":23,"freq":26},"nurse-106-1-精神科與社區衛生護理學-005","nurse-106-1-psychiatric-community-005",106,1,5,"謝先生因思覺失調症（schizophrenia）住院，在許護理師上班時經常對她出現吵鬧、依賴或討好等行為，許護理師了解這是謝先生對自己的情感轉移，進而提供適當的護理措施，下列何者最不適宜？",{"A":14,"B":15,"C":16,"D":17},"運用支持性心理治療予關懷紓解情緒","安排相關環境治療並鼓勵參與活動","運用再教育性心理治療訓練其獨立自主","運用面質指出此項行為嚴重影響治療性關係","D",null,[],"本題考點為情感轉移(transference)的護理處置。病人將過去對重要他人的情感投射到護理師身上,出現吵鬧、依賴、討好等行為,護理師理解此為情感轉移後,宜以支持、接納與適當引導協助其覺察與調整。A支持性心理治療給予關懷紓解情緒、B安排環境治療鼓勵參與活動、C以再教育性心理治療訓練其獨立自主,皆屬合宜。D以面質直接指出此行為嚴重影響治療性關係最不適宜,面質過早且針對轉移行為施壓,易破壞信任並增加防衛,故為最不適當者。","情感轉移是治療關係中常見現象,可作為理解病人內在關係模式的素材;護理師須自我覺察反轉移(countertransference)以免情緒被牽動。處置原則是維持一致、可預期、有界限的治療性關係,以接納與引導協助病人成長。面質(confrontation)雖為治療技巧,但需在穩固信任關係下、時機成熟時謹慎使用,對脆弱或初期病人貿然面質易造成反效果。",[24,27,30,32],{"term":25,"count":26},"治療性關係",11,{"term":28,"count":29},"情感轉移",2,{"term":31,"count":29},"反轉移",{"term":33,"count":29},"面質時機",[35,39,43,48,53,58],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-106-1-psychiatric-community-006","臨床上發現病人有問題行為而需進行行為治療時，護理師在評估病人的問題行為時，應主要觀察的內容，下列何項正確？①在何種情況下（行為前情境）②病人出現何種行為 ③家人的感受 ④行為之後產生什麼結果",6,{"webId":40,"stem":41,"number":42,"year":9,"session":29},"nurse-106-2-psychiatric-community-022","長期大量使用某種物質，在停用或減用後，會出現渴藥、不安、流淚、發汗、瞳孔放大、虛弱無力、噁心、腹痛、骨頭酸痛、失眠等，最可能是下列何種濫用物質的戒斷反應？",22,{"webId":44,"stem":45,"number":46,"year":47,"session":10},"nurse-107-1-psychiatric-community-036","陳小姐接受社區復健方案，護理師協助她連結社區相關資源，此時護理師最主要發揮那一項專業角色？",36,107,{"webId":49,"stem":50,"number":51,"year":52,"session":29},"nurse-108-2-psychiatric-community-074","根據 2025 衛生福利政策白皮書中，對於健全社會安全及綿密弱勢照顧體系方面的做法或成就之敘述，下列何者錯誤？",74,108,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-110-1-psychiatric-community-038","對於自殺行為與精神疾病之敘述，下列何者錯誤？",38,110,{"webId":59,"stem":60,"number":61,"year":62,"session":10},"nurse-111-1-psychiatric-community-072","有關喘息服務之敘述，下列何者最不適當？",72,111,"2026-09-04",1788510694588]