[{"data":1,"prerenderedAt":61},["ShallowReactive",2],{"q-nurse-106-2-psychiatric-community-004":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":31,"lastmod":60},"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-106-2-精神科與社區衛生護理學-004","nurse-106-2-psychiatric-community-004",106,2,4,"護理師於會談中詢問病人：「為什麼到醫院來？」、「就你所知，醫師為什麼開這些藥物給你？」請問是為了獲得那方面的評估資料？",{"A":14,"B":15,"C":16,"D":17},"病人對環境的了解","病人對疾病的了解","病人的疾病史","病人對疾病的因應能力","B",null,[],"本題考點為精神狀態會談中「病識感／對疾病了解」的評估。依會談評估架構，詢問「為什麼到醫院來」「醫師為什麼開這些藥」是在探測病人對自身罹病與治療理由的認知，即對疾病的了解（病識感相關資料），故正解為 B。A 錯在對環境的了解評估的是病人對住院場所、規範的定向與認識，非疾病本身。C 錯在疾病史是蒐集發病經過、過去病史等縱貫資料，而題目問的是當下的認知理解。D 錯在因應能力評估的是病人面對壓力或症狀的應對策略，而非其對疾病的認識。","此類問句在評估「病識感（insight）」的雛形——病人是否知道自己生病、為何需要治療，是後續治療配合度（compliance）的重要指標。區辨技巧：問「為什麼來」「為什麼吃藥」＝對疾病的認知；問「你怎麼面對」＝因應能力；問「以前發生過什麼」＝疾病史；問「這是哪裡、今天幾號」＝定向感／對環境了解。病識感的高低與預後、服藥遵從性密切相關。",[24,27,29],{"term":25,"count":26},"病識感(insight)",1,{"term":28,"count":26},"精神狀態會談",{"term":30,"count":26},"疾病認知評估",[32,36,41,45,50,55],{"webId":33,"stem":34,"number":35,"year":9,"session":10},"nurse-106-2-psychiatric-community-005","治療者詢問團體中其他成員：「大家是否有類似的感受或經驗？」請問治療者的用意為何？",5,{"webId":37,"stem":38,"number":39,"year":40,"session":26},"nurse-107-1-psychiatric-community-021","簡先生，24 歲，診斷為思覺失調症，個子矮小，沒自信，說話極小聲，從小求學成績不佳，人際關係不好，後來被分派到資源班就讀，常受同學欺負，護理師今天發現個案都躲在房間不願意到大廳活動，與之會談表示某病友昨天傍晚打他，搶他的食物吃，有走到護理站，但不知怎麼跟護理師說。護理師的回應，下列那一項最適切？",21,107,{"webId":42,"stem":43,"number":44,"year":40,"session":10},"nurse-107-2-psychiatric-community-035","有關發展社區心理衛生的第二段預防服務，下列何者屬於該段服務內容？",35,{"webId":46,"stem":47,"number":48,"year":49,"session":26},"nurse-109-1-psychiatric-community-073","下列何者不是學校護理師收集學生視力不良資料之主要目的？",73,109,{"webId":51,"stem":52,"number":53,"year":54,"session":10},"nurse-110-2-psychiatric-community-037","臨床護理人員面對病人暴力行為時的心理反應與態度，下列敘述何者正確？",37,110,{"webId":56,"stem":57,"number":58,"year":59,"session":10},"nurse-111-2-psychiatric-community-071","有關學校護理師應用流行病學方法進行校園評估的目的，下列何者最不適當？",71,111,"2026-09-04",1788510699880]