[{"data":1,"prerenderedAt":62},["ShallowReactive",2],{"q-nurse-106-2-psychiatric-community-015":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":35,"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-015","nurse-106-2-psychiatric-community-015",106,2,15,"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？",{"A":14,"B":15,"C":16,"D":17},"了解王先生的症狀行為，予以適當的討論","向院長解釋王先生的目前疾病狀況","尊重王先生的權利，協助其達成所提出建議","肯定及鼓勵王先生對病房的關心行為","A",null,[],"本題考點為躁症病人不斷投書等行為的治療性處置原則。依躁症照護原則，病人的多話、過度建議、投書屬症狀表現（誇大、活動量增、好管閒事），護理師宜先了解其症狀行為的意涵，予以適當的討論與設限，故正解為 A。B 錯在向院長解釋病情涉及病人隱私且未針對病人本身處理，非適當的護理處置重點。C 錯在盲目協助達成其所有建議，等於強化了躁症的失控行為，缺乏治療性設限。D 錯在對躁症的過度行為給予肯定與鼓勵，會助長症狀、使其更亢奮，不符合躁症宜減少刺激與適當設限的原則。","躁症照護核心是「設限（limit setting）＋減少刺激＋不強化過度行為」。病人的投書、批評、過度建議源於情緒高昂、判斷力受損，護理師應以不批判但一致的態度理解其行為背後的需求並溫和設限，而非鼓勵（會火上加油）或全盤配合（強化失控）。口訣：躁症「不激不縱」——不激怒、不縱容、適度設限。與環境治療中「躁症減低刺激」原則一致。",[24,27,30,32],{"term":25,"count":26},"治療性溝通",46,{"term":28,"count":29},"雙相情緒障礙症",4,{"term":31,"count":10},"躁症照護",{"term":33,"count":34},"設限(limit setting)",1,[36,40,45,48,52,57],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-106-2-psychiatric-community-016","承上題，王先生容易受環境刺激，而變得更加躁動不安，下列措施何者最適宜？",16,{"webId":41,"stem":42,"number":43,"year":44,"session":34},"nurse-107-1-psychiatric-community-032","下列關於治療注意力不足／過動症藥物 methylphenidate（Ritalin ® ）的描述，何者正確？",32,107,{"webId":46,"stem":47,"number":26,"year":44,"session":10},"nurse-107-2-psychiatric-community-046","依據勞動基準法第 52 條規定，除規定之休息時間外雇主應每日另提供產後職業婦女幾次哺乳時間？",{"webId":49,"stem":50,"number":29,"year":51,"session":10},"nurse-109-2-psychiatric-community-004","病人因罹患厭食症入院治療，母親說病人多次表示自己並非其親生的，很恨母親。但病人於會談中告訴護理師：「母親非常完美，而且非常懂得如何愛小孩。」病人主要使用何種防衛機轉？",109,{"webId":53,"stem":54,"number":55,"year":56,"session":10},"nurse-110-2-psychiatric-community-048","社區護理師宜根據流行病學的方法學進行健康議題之評估，下列敘述何者正確？",48,110,{"webId":58,"stem":59,"number":10,"year":60,"session":34},"nurse-112-1-psychiatric-community-002","提出個體之人際關係不良會帶來焦慮反應的是那位學者？",112,"2026-09-04",1788510700000]