[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-106-1-psychiatric-community-015":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"lastmod":62},"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-015","nurse-106-1-psychiatric-community-015",106,1,15,"陳先生，32 歲，罹患思覺失調症（schizophrenia）已 6 年，入院時顯得散漫，不願意參加病房活動，下列那一項護理措施最適合？",{"A":14,"B":15,"C":16,"D":17},"隨時陪在病人身邊督促病人參與病房活動","與病人討論安排日常生活作息，參與病房活動","了解這是疾病造成的負性症狀，並接受這已是病人最好的預後情況","向病人解釋規則活動的重要性，以提升參與活動的動機","B",null,[],"本題考點在思覺失調症負性症狀(散漫、退縮、動機低落)的護理原則。面對缺乏動機的病人,最適切的是與病人「一起」討論、共同安排可行的日常作息與活動參與,藉結構化與病人自主參與逐步提升功能,故選B。A隨時陪伴督促屬過度介入,易形成依賴且不尊重病人自主。C將現況視為「已是最好預後」而消極接受,牴觸復健與復元精神,等於放棄協助功能維持。D單向「解釋規則活動重要性」只是說教,對負性症狀病人動機提升有限,缺乏共同參與的合作關係,故三者皆不如B。","負性症狀(negative symptoms)包含情感平淡、退縮、動機缺乏(avolition),對衛教說理反應差,關鍵是『結構化+漸進+共同參與』:把大目標拆成小步驟,與病人協商可達成的作息表,以成功經驗累積動機。護理避免兩極——過度督促造成依賴、消極接受造成功能退化。復元(recovery)模式強調病人是合作夥伴而非被動接受者,故B同時符合功能維持與自主原則。",[24,27,29,31],{"term":25,"count":26},"思覺失調症負性症狀",3,{"term":28,"count":10},"動機缺乏avolition",{"term":30,"count":10},"結構化日常作息",{"term":32,"count":10},"復元合作關係",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-106-1-psychiatric-community-016","王先生，32 歲，診斷為思覺失調症（schizophrenia），入院第 3 天，白天躺床拒絕參加病室活動，表示自己晚上都睡不好，因為平時沒那麼早睡，醫院作息太早睡了，很不習慣。為協助王先生改善睡眠，下列那一項措施最適合？",16,{"webId":39,"stem":40,"number":41,"year":9,"session":42},"nurse-106-2-psychiatric-community-032","依據民國 102 年修正之精神衛生法，個案接受強制社區治療時，初始階段以幾日為限？",32,2,{"webId":44,"stem":45,"number":46,"year":47,"session":10},"nurse-107-1-psychiatric-community-046","社區護理師提供發展遲緩兒童之早期療育服務，下列何者錯誤？",46,107,{"webId":49,"stem":50,"number":51,"year":52,"session":10},"nurse-109-1-psychiatric-community-004","護理師在精神科病房帶領團體治療，鼓勵病人與他人分享生病感受，並在團體中表示感謝其他病人對他的包容、接納與信任，此活動運用下列何項精神護理概念模式？",4,109,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-110-1-psychiatric-community-048","下列那些疾病是由病毒引起？①登革熱 ②日本腦炎 ③霍亂 ④麻疹",48,110,{"webId":59,"stem":60,"number":42,"year":61,"session":42},"nurse-111-2-psychiatric-community-002","精神復健機構的資深護理師協助病人接受「強制社區治療」的工作項目中，下列何者正確？①藥物治療 ②藥物之依賴性評估 ③藥物之血液檢驗 ④藥物之尿液濃度檢驗 ⑤酒精篩檢 ⑥放射性藥物檢驗",111,"2026-09-04",1788510694698]