[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-106-2-psychiatric-community-009":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-106-2-精神科與社區衛生護理學-009","nurse-106-2-psychiatric-community-009",106,2,9,"有關環境治療的敘述，下列何項正確？①躁症病人應減低過度的環境刺激 ②監視憂鬱症病人防止自殺行為 ③提供思覺失調症病人新的認同對象 ④行為失控時即刻使用身體約束及保護隔離",{"A":14,"B":15,"C":16,"D":17},"①②③","②③④","①②④","①③④","A",null,[],"本題考點為環境治療對不同精神症狀的原則性處置。依環境治療原則，①躁症病人易受過度刺激而更亢奮，故應降低環境刺激；②憂鬱症病人自殺風險高，需嚴密監視防自殺行為；③思覺失調症病人可透過提供新的認同對象促進正向人際學習，三者皆正確，故正解為 A（①②③）。④「行為失控時即刻使用身體約束及保護隔離」錯在約束與隔離是最後手段，須先嘗試口語安撫與環境調整、評估必要性並符合規範，不可一有失控即刻施行，故凡含④的選項（B、C、D）皆錯。","環境治療的核心是「依症狀調整刺激量與安全防護」：躁症減刺激、憂鬱防自殺、思覺失調提供矯正性人際經驗。約束與隔離屬限制性介入（restraint\u002Fseclusion），倫理與法規上為最小侵犯、最後手段原則（least restrictive alternative），需有立即危險、醫囑、定時評估與紀錄。記憶要訣：看到「即刻約束」「一律隔離」這類絕對化用語多為錯項，因臨床強調先非約束性策略。",[24,27,30,32],{"term":25,"count":26},"環境治療",6,{"term":28,"count":29},"最小限制原則(least restrictive)",1,{"term":31,"count":29},"身體約束與保護隔離",{"term":33,"count":29},"躁症\u002F憂鬱症\u002F思覺失調照護",[35,39,44,48,53,58],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-106-2-psychiatric-community-010","在團體治療的場合中，病人表示她都睡不好，另一位病人說：「我以前也睡不好，後來準時吃藥，按時去睡，我現在就睡很好了。」有關耶隆（Yalom）的療效因子之敘述，下列何者最正確？",10,{"webId":40,"stem":41,"number":42,"year":43,"session":29},"nurse-107-1-psychiatric-community-026","古先生為富二代獨子，母親早逝與權威父親經常對立且常有衝突，經常在外與朋友以毒品自我麻醉，目前診斷為海洛因之物質障礙症，住院後下列治療之說明何者正確？",26,107,{"webId":45,"stem":46,"number":47,"year":43,"session":10},"nurse-107-2-psychiatric-community-040","依據伯姆漢（Blomhoff）及多位國內學者提出評估病人的暴力危險因子，下列描述暴力危險因子何項最適當？",40,{"webId":49,"stem":50,"number":51,"year":52,"session":29},"nurse-109-1-psychiatric-community-078","有關骨質疏鬆症的敘述，下列何者錯誤？",78,109,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-110-2-psychiatric-community-042","有關現行衛生福利部組織之敘述，下列何者正確？",42,110,{"webId":59,"stem":60,"number":61,"year":62,"session":10},"nurse-111-2-psychiatric-community-076","有關長者在家進行肌力和肌耐力訓練，下列敘述何者錯誤？",76,111,"2026-09-04",1788510699922]