[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-106-2-psychiatric-community-002":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":10,"stem":11,"options":12,"answer":17,"answerNote":18,"images":19,"explanation":20,"explanationDeep":21,"topics":22,"freq":25},"nurse-106-2-精神科與社區衛生護理學-002","nurse-106-2-psychiatric-community-002",106,2,"有關精神醫學第四次革新運動的敘述，下列何者正確？",{"A":13,"B":14,"C":15,"D":16},"代表人物為瓊斯（Jones）","倡導治療性社區","推廣去機構化運動","生物精神醫學蓬勃發展","D",null,[],"本題考點為精神醫學四次革新運動的分期與代表特徵。依精神醫學史分期，第一次革新是 Pinel 解除鎖鏈的人道運動，第二次是 Freud 的精神分析，第三次是社區精神醫學（含治療性社區、去機構化），第四次革新則以神經科學與腦影像進展帶動生物精神醫學蓬勃發展，故正解為 D。A 錯在瓊斯（Maxwell Jones）是治療性社區的代表人物，屬第三次革新脈絡而非第四次。B「倡導治療性社區」同屬第三次革新的內容，非第四次。C「去機構化運動」也是第三次革新（社區精神醫學）的產物，時序早於第四次。","四次革新可用時間軸串記：①Pinel 人道解放→②Freud 精神分析→③社區精神醫學（Jones 治療性社區、去機構化、1963 美國社區精神衛生法案）→④生物精神醫學（神經傳導物質、腦影像、精神藥理學）。口訣「人道—分析—社區—生物」。第四次革新的推力來自 CT\u002FMRI、神經傳導物質假說與新型抗精神病藥的發展，使精神疾病回歸腦部生物基礎的理解，與 DSM 診斷操作化並行。",[23,26,29,31],{"term":24,"count":25},"去機構化",16,{"term":27,"count":28},"精神醫學四次革新運動",1,{"term":30,"count":28},"生物精神醫學",{"term":32,"count":28},"治療性社區(Jones)",[34,38,43,47,52,57],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-106-2-psychiatric-community-003","心理防衛機轉中，有關潛抑作用（repression）和壓抑作用（suppression）之敘述，下列何者正確？",3,{"webId":39,"stem":40,"number":41,"year":42,"session":28},"nurse-107-1-psychiatric-community-019","陳先生，48 歲，診斷思覺失調症，入院第 4 天，表示自己是孫悟空齊天大聖，具有七十二變的能力，活動量大，時有膜拜行為，表示看到觀世音菩薩降臨，偶有做出打鬥行為，表示要與邪魔鬥法，無法安靜用餐，進食量差，必須提醒下才可完成自我照顧，下列那一項護理措施最適切？",19,107,{"webId":44,"stem":45,"number":46,"year":42,"session":10},"nurse-107-2-psychiatric-community-033","治療注意力不足\u002F過動症的藥物 methylphenidate（Ritalin ® ）是屬於那一類藥物？",33,{"webId":48,"stem":49,"number":50,"year":51,"session":28},"nurse-109-1-psychiatric-community-071","初任職的職業衛生護理師，要推動公司員工「代謝症候群防治」健康計劃，最好先以何種方式進行健康評估？",71,109,{"webId":53,"stem":54,"number":55,"year":56,"session":10},"nurse-110-2-psychiatric-community-035","許小姐 35 歲，反覆住院的情感性精神病病人。近日剛從急性病房轉慢性病房，家屬可接受病人返家同住，只是擔心病人病情惡化，病人有工作及復健潛能。下列有關病人的出院準備何者較適當？",35,110,{"webId":58,"stem":59,"number":60,"year":61,"session":10},"nurse-111-2-psychiatric-community-069","有關校園結核病護理指導，下列何者正確？① 結核病主要為直接接觸傳染應保持教室通風 ②教職員生若有咳嗽超過一週應建議其盡速就醫 ③都治計畫是針對確診個案的治療策略 ④結核病指標個案是指確定診斷的結核病病人",69,111,"2026-09-04",1788510699865]