[{"data":1,"prerenderedAt":62},["ShallowReactive",2],{"q-nurse-106-2-psychiatric-community-010":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":32,"lastmod":61},"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-010","nurse-106-2-psychiatric-community-010",106,2,10,"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？",{"A":14,"B":15,"C":16,"D":17},"病友提供灌注希望（instillation of hope）的療效","發展社交技巧（development of socializing techniques）","病友的建議是一種原生家庭經驗再現的療效","病友的建議可引導體會生存（existential factor）的意義","A",null,[],"本題考點為 Yalom 療效因子中的「灌注希望（instillation of hope）」。依團體治療原理，病友分享自己曾同樣失眠、後來規律服藥作息而改善的經驗，讓當事人看到康復的可能而燃起希望，正是灌注希望的運作，故正解為 A。B 錯在發展社交技巧著重的是團體中人際互動與社交行為的學習，而非傳遞康復盼望。C 錯在原生家庭經驗再現指團體重演早年家庭關係模式，與此分享康復經驗無關。D 錯在存在性因子處理孤獨、死亡、生命意義等終極課題，非本題傳達的「你也會好起來」訊息。","灌注希望是團體早期最關鍵的療效因子之一，特別是當「過來人」現身說法，比治療者的保證更具說服力，能提升成員的治療信心與留存率。區辨：灌注希望＝看見別人變好→我也有望；普同感＝原來不只我這樣；發展社交技巧＝在團體練習人際；存在性因子＝面對生命終極議題。Yalom 認為希望本身即具療效，是維繫成員持續參與的動力來源。",[24,27,29],{"term":25,"count":26},"團體治療",4,{"term":28,"count":10},"Yalom 療效因子",{"term":30,"count":31},"灌注希望(instillation of hope)",1,[33,37,42,46,51,56],{"webId":34,"stem":35,"number":36,"year":9,"session":10},"nurse-106-2-psychiatric-community-011","有關電氣痙攣療法（electroconvulsive therapy, ECT）護理照護的敘述，下列何者正確？",11,{"webId":38,"stem":39,"number":40,"year":41,"session":31},"nurse-107-1-psychiatric-community-027","承上題，古先生問題的心理復健，請問下列說明何者最適切？",27,107,{"webId":43,"stem":44,"number":45,"year":41,"session":10},"nurse-107-2-psychiatric-community-041","臺灣某縣市 15 歲以上的性比小於 100，代表的意義為何？",41,{"webId":47,"stem":48,"number":49,"year":50,"session":31},"nurse-109-1-psychiatric-community-079","李老先生是 82 歲的糖尿病個案，血糖控制不好，也不願就醫，他向社區護理師說：「我已經活夠了，現在都沒不舒服，如果怎樣，死了就算了，無須再就醫吃藥」。根據健康信念模式，社區護理師應加強何項認知的對話？",79,109,{"webId":52,"stem":53,"number":54,"year":55,"session":10},"nurse-110-2-psychiatric-community-043","有關全民健康保險預防保健服務的敘述，下列何者錯誤？",43,110,{"webId":57,"stem":58,"number":59,"year":60,"session":10},"nurse-111-2-psychiatric-community-077","67 歲的歐陽先生於上個月參加成人健檢，檢查結果：三酸甘油脂為 218 mg\u002FdL，低密度膽固醇 196 mg\u002FdL，血壓 158\u002F110 mmHg，空腹血糖 99 mg\u002FdL。下列何者不是心血管疾病危險因子？",77,111,"2026-09-04",1788510699940]