[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-106-1-psychiatric-community-029":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":35,"lastmod":64},"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-029","nurse-106-1-psychiatric-community-029",106,1,29,"強迫症患者（obsessive-compulsive disorder, OCD）之強迫行為與下列那一種防衛機轉最有相關？",{"A":14,"B":15,"C":16,"D":17},"外射（projection）","昇華作用（sublimation）","潛抑作用（repression）","抵消（undoing）","D",null,[],"本題考點在強迫症強迫行為所對應的防衛機轉。強迫症病人以重複行為(如反覆洗手、檢查)來「抵消」強迫思考引發的焦慮或罪惡感,這種以象徵性動作去中和、取消先前想法或衝動的心理歷程,即抵消作用(undoing),故選D。A外射(projection)是把不被接受的想法歸咎他人,與此機轉不同。B昇華作用(sublimation)把衝動導向社會接受的活動,屬成熟防衛,非強迫症核心。C潛抑作用(repression)把痛苦記憶壓入潛意識,無法解釋「重複儀式化行為」的動作特徵,故三者皆不如D。","抵消(undoing)是 OCD 的招牌機轉:強迫思考(如怕汙染、怕傷害他人)產生焦慮,病人以儀式化行為象徵性地『把它取消掉』,暫時降低焦慮,卻反覆強化循環。與反向作用(reaction formation,表現出相反態度)易混,但抵消強調『事後補救\u002F中和』的動作性。記憶:『強迫=想法引焦慮,行為來抵消』。治療上暴露不反應法(ERP)正是打斷此抵消循環。",[24,27,30,33],{"term":25,"count":26},"防衛機轉",8,{"term":28,"count":29},"強迫症",6,{"term":31,"count":32},"抵消作用undoing",2,{"term":34,"count":10},"強迫思考與行為循環",[36,40,44,49,54,59],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-106-1-psychiatric-community-030","護理師對於經歷大地震的青少年進行支持性團體治療，提供一本書籍介紹關於個人如何經過地震的恐懼而學習面對和處理自己的創傷經驗，邀請大家在閱讀後於團體分享對故事人物的看法和感受。此種處置是應用下列何種治療？",30,{"webId":41,"stem":42,"number":43,"year":9,"session":32},"nurse-106-2-psychiatric-community-046","有關流行病學中所謂的「流行病」，下列何者正確？",46,{"webId":45,"stem":46,"number":47,"year":48,"session":10},"nurse-107-1-psychiatric-community-060","林太太，76 歲，有高血壓並按時服藥；社區護理師可以建議她接受何種免費疫苗之注射？①帶狀疱疹疫苗 ②肺炎鏈球菌疫苗 ③流感疫苗 ④人類乳突病毒疫苗",60,107,{"webId":50,"stem":51,"number":52,"year":53,"session":10},"nurse-109-1-psychiatric-community-018","對於急性期發作的躁症病人，首要的護理措施為何？",18,109,{"webId":55,"stem":56,"number":57,"year":58,"session":10},"nurse-110-1-psychiatric-community-062","當地球臭氧層被破壞時，最主要的危害為何？",62,110,{"webId":60,"stem":61,"number":62,"year":63,"session":32},"nurse-111-2-psychiatric-community-016","張太太，58 歲，診斷為憂鬱症，入院第三天，整天躺床，覺得焦慮不安、精神不集中且常常哭泣，對病房活動沒有參與動機，下列何者照護措施較適當？",16,111,"2026-09-04",1788510694871]