[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-106-2-psychiatric-community-025":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-025","nurse-106-2-psychiatric-community-025",106,2,25,"初次住院的王先生表示：「我一直聽到有個女生的聲音在我的耳邊罵我，我真的好痛苦！」護理師的回應，下列何者最適當？",{"A":14,"B":15,"C":16,"D":17},"「我可以感受你現在的痛苦。」","「這個聲音是幻聽。」","「別理它就好了。」","「罵回去就不會痛苦了。」","A",null,[],"本題考點為對幻聽病人的治療性溝通。依治療性溝通原則，病人正因幻聽而痛苦，護理師應先以同理心接住其感受、傳達理解與陪伴，故「我可以感受你現在的痛苦」最適當，為正解 A。B 錯在直接標籤「這個聲音是幻聽」流於診斷式告知，未回應病人當下的情緒，且此時對抗現實易引發防衛。C 錯在「別理它就好了」是輕忽、否定病人痛苦的敷衍回應，缺乏同理。D 錯在「罵回去就不會痛苦」不僅無治療性，還可能強化其對幻聽的投入與病態互動，屬不當引導。","面對幻聽的溝通層次：先同理情緒（接住痛苦）→再溫和探詢與現實澄清（如「我沒聽到那個聲音，但我知道對你很真實」）→協助因應技巧。首要是建立信任與同理，而非急於糾正現實或給建議。口訣：幻聽「先接情緒、不否定、不對抗」。與妄想處置（第 020 題）一致——治療性溝通的通則是同理先行、現實澄清在後，避免爭辯或敷衍。",[24,27,30,33],{"term":25,"count":26},"治療性溝通",46,{"term":28,"count":29},"幻聽照護",3,{"term":31,"count":32},"同理心(empathy)",1,{"term":34,"count":32},"情緒接納",[36,40,45,49,54,59],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-106-2-psychiatric-community-026","下列何種藥物濫用會因長期嗅吸造成鼻中膈穿孔、肺受損及靜脈注射感染疾病？",26,{"webId":41,"stem":42,"number":43,"year":44,"session":32},"nurse-107-1-psychiatric-community-042","社區評估時收集社區民眾的教育程度及其婚姻狀況等資料，是安德森（Anderson）健康評估模式中的那一向度？",42,107,{"webId":46,"stem":47,"number":48,"year":44,"session":10},"nurse-107-2-psychiatric-community-056","住護理之家的朱老先生，最近護理師發現他手指縫出現抓痕、紅斑，經醫師診斷為疥瘡，治療中。下列有關疥瘡之描述，何者正確？①常見於人口密集機構 ②疥蟲在皮膚表面挖出隧道產卵 ③只要 40 度高溫即可殺死疥蟲 ④照顧者常接觸，只要勤清潔不需要一同治療 ⑤常見於白天劇烈搔癢",56,{"webId":50,"stem":51,"number":52,"year":53,"session":10},"nurse-109-2-psychiatric-community-014","有關精神病理學症狀的描述，下列何者正確？",14,109,{"webId":55,"stem":56,"number":57,"year":58,"session":10},"nurse-110-2-psychiatric-community-058","依據跨理論模式（transtheoretical model），王女士陳述「我想要運動，但就是找不到時間。如果我能每週運動 3 天，我對於自己的感覺會比較好。」，依據王女士目前所處的行為改變階段，下列何種方法最適當？",58,110,{"webId":60,"stem":61,"number":62,"year":63,"session":32},"nurse-112-1-psychiatric-community-012","有關團體治療的敘述，下列何者最適宜？",12,112,"2026-09-04",1788510700098]