[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-106-2-psychiatric-community-020":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":35,"lastmod":64},"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-020","nurse-106-2-psychiatric-community-020",106,2,20,"黃先生，診斷思覺失調症，表示自己是調查局南機組幹員，被派到公司臥底，最近他查到公司與某位政府高層有進行一項見不得光的交易，所以被下降頭，護理師的反應下列何者最適當？",{"A":14,"B":15,"C":16,"D":17},"你好像很害怕，可是就我所知並沒有下降頭這件事","向黃先生提出質疑「調查局有南機組嗎？」","政治新聞對你影響很大","傾聽黃先生的陳述","D",null,[],"本題考點為面對妄想（delusion）病人的治療性溝通原則。依妄想照護原則，不與病人爭辯妄想內容的真假（爭辯會強化妄想並破壞信任），也不附和其妄想，而是傾聽病人陳述、理解其背後的情緒與感受，故正解為 D。A 錯在直接指出「並沒有下降頭這件事」是與病人辯駁妄想的真實性，易引發防衛與對立。B 錯在質疑「調查局有南機組嗎」同屬正面否定與爭辯妄想，破壞治療關係。C 錯在「政治新聞對你影響很大」是護理師擅自詮釋、下結論，並未真正傾聽病人，也偏離其妄想的核心情緒。","妄想溝通三不：不爭辯（不否定真假）、不附和（不強化內容）、不下評斷。正確策略是傾聽、聚焦於病人的情緒與需求（如恐懼、被害感），以同理連結而非糾正事實。口訣：妄想「不辯不迎、聽情緒」。可用回應如「聽起來你覺得很不安全」，把焦點從妄想內容轉向可處理的情緒。與幻聽處置（見第 025 題）同理——先接住感受，再談現實，而非硬碰硬糾正。",[24,27,30,33],{"term":25,"count":26},"治療性溝通",46,{"term":28,"count":29},"思覺失調症",17,{"term":31,"count":32},"妄想(delusion)照護",1,{"term":34,"count":32},"傾聽與同理",[36,40,45,49,54,59],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-106-2-psychiatric-community-021","有關處於「譫妄」（delirium）狀態病人的護理目標，下列何者應優先處理？",21,{"webId":41,"stem":42,"number":43,"year":44,"session":32},"nurse-107-1-psychiatric-community-037","老年人的記憶力衰退，較容易發生下列何種情況？",37,107,{"webId":46,"stem":47,"number":48,"year":44,"session":10},"nurse-107-2-psychiatric-community-051","有關社區衛生護理與醫院護理的差異，下列何者正確？",51,{"webId":50,"stem":51,"number":52,"year":53,"session":10},"nurse-109-2-psychiatric-community-009","38 歲林先生，騎車時發生嚴重車禍，之後持續出現睡不著、惡夢連連、感覺還聽到撞車時的剎車聲，抱怨被截斷的左腳似乎猶存，感到極度疼痛，常獨自在家中生氣，也不敢再經過車禍地點，上述症狀持續 1 個月以上，下列何項為最可能的問題？",9,109,{"webId":55,"stem":56,"number":57,"year":58,"session":10},"nurse-110-2-psychiatric-community-053","有關護理師運用社區資源的敘述，下列何者不適當？",53,110,{"webId":60,"stem":61,"number":62,"year":63,"session":32},"nurse-112-1-psychiatric-community-007","有關電氣痙攣治療（electroconvulsive therapy, ECT）之併發症，主要為下列何項？①頭痛 ②腦出血 ③呼吸暫停 ④短暫記憶喪失",7,112,"2026-09-04",1788510700034]