[{"data":1,"prerenderedAt":60},["ShallowReactive",2],{"q-nurse-106-2-psychiatric-community-014":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":31,"lastmod":59},"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-014","nurse-106-2-psychiatric-community-014",106,2,14,"護理師照顧吳太太時有強烈的敵意，與之互動時顯不耐煩，覺得對方很像自己的婆婆，而難以和吳太太建立護病關係，有關這種關係之敘述，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"情感轉移","情感反轉移","試探性行為","阻抗作用","B",null,[],"本題考點為情感反轉移（countertransference）的辨識。依精神分析概念，反轉移是治療者（護理師）把自己過往的情感投射到病人身上；護理師覺得病人像自己的婆婆而產生敵意與不耐，是護理師的情感投射到病人，屬情感反轉移，故正解為 B。A 錯在情感轉移（transference）方向相反，是病人把對重要他人的情感投射到治療者身上。C 錯在試探性行為指病人以言行測試治療者的反應與界線，與治療者自身情感投射無關。D 錯在阻抗作用是病人抗拒治療進展的防衛表現，主體是病人而非護理師。","區辨口訣以「誰投射到誰」為準：病人→治療者＝轉移（transference）；治療者→病人＝反轉移（countertransference）。反轉移若未覺察，會干擾護病關係與治療客觀性，故護理師須具自我覺察、必要時尋求督導（supervision）以處理個人情緒反應。本題護理師把病人當成自己的婆婆，情感來源在護理師自身經驗，是反轉移的典型例。轉移與反轉移皆源自 Freud，是治療關係動力的核心概念。",[24,27,29],{"term":25,"count":26},"情感反轉移(countertransference)",1,{"term":28,"count":26},"情感轉移(transference)",{"term":30,"count":26},"自我覺察與督導",[32,36,41,45,50,55],{"webId":33,"stem":34,"number":35,"year":9,"session":10},"nurse-106-2-psychiatric-community-015","王先生診斷雙相情緒障礙症，30 歲。王先生住院後，不斷的投書給醫院的院長，對病房設施提出多項建議，護理師的處置下列何者最適宜？",15,{"webId":37,"stem":38,"number":39,"year":40,"session":26},"nurse-107-1-psychiatric-community-031","下列何種疾患最常與飲食障礙症成為共病？",31,107,{"webId":42,"stem":43,"number":44,"year":40,"session":10},"nurse-107-2-psychiatric-community-045","王先生外出用餐食用生鮮魚貝類，返家後開始出現下痢、腹痛、噁心、嘔吐、頭痛、腹瀉等急性腸胃不適，依此症狀判斷，最有可能由何種細菌引起？",45,{"webId":46,"stem":47,"number":48,"year":49,"session":10},"nurse-109-2-psychiatric-community-003","鋰鹽（lithium）是治療雙相情緒障礙症（bipolar disorder）之重要的情緒穩定劑，當病人持續使用鋰鹽治療時，必須定期醫療檢查的項目，下列何項正確？①肝臟功能 ②腎臟功能 ③甲狀腺功能 ④肺臟功能",3,109,{"webId":51,"stem":52,"number":53,"year":54,"session":10},"nurse-110-2-psychiatric-community-047","有關孕婦的疫苗接種，下列何者是可以接種的？",47,110,{"webId":56,"stem":57,"number":26,"year":58,"session":26},"nurse-112-1-psychiatric-community-001","中華民國精神衛生護理學會致力於推展下列那些專業認證或甄審？①精神衛生護理師 ②社區精神衛生護理能力鑑定 ③精神衛生臨床護理專家 ④精神科專科護理師",112,"2026-09-04",1788510699989]