[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-106-2-psychiatric-community-028":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"lastmod":63},"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-028","nurse-106-2-psychiatric-community-028",106,2,28,"有關物質使用障礙症病人之照護過程，下列何者最正確？",{"A":14,"B":15,"C":16,"D":17},"在「接觸期」，強調治療性關係的建立，不宜改變日常生活作息","在「說服期」，宜多運用面質技巧，迫使病人面對自己的困境，此階段並不宜使用動機晤談法","在「積極治療期」，宜加強病人法治觀念，改善交友","在「預防再濫用期」，宜加強行為改變，確認危險因子，以促進預防措施","D",null,[],"本題考點為物質使用障礙症照護各階段的重點任務。依成癮復元階段，「預防再濫用期」的核心在鞏固已建立的行為改變、辨識高危險因子並強化預防復發措施，故正解為 D。A 錯在接觸期為協助戒治往往需調整作息以脫離用藥情境，「不宜改變作息」不當。B 錯在說服期正是運用動機式晤談促發改變動機，過度面質易引發抗拒，選項卻主張多用面質並排除動機晤談，方向錯誤。C 錯在積極治療期重在戒治的治療性介入，「加強法治觀念、改善交友」屬社會復健的籠統說法，非該期核心。","成癮照護階段可對應動機改變歷程：接觸／建立關係→說服（提升改變動機，用動機式晤談而非面質）→積極治療（戒治、處理戒斷與共病）→預防再濫用（辨識高危因子、發展因應技巧、復發預防）。動機式晤談強調同理、不對抗、引出病人自身改變語言，面質式對峙已被實證證明易增抗拒。口訣「先接觸、再引動機、後治療、終防復發」。復發預防（relapse prevention）著重辨識誘因與建立替代因應，是維持戒治成果的關鍵階段。",[24,27,30,32],{"term":25,"count":26},"動機式晤談",4,{"term":28,"count":29},"物質使用障礙症照護階段",1,{"term":31,"count":29},"復發預防(relapse prevention)",{"term":33,"count":29},"高危險因子辨識",[35,39,44,48,53,58],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-106-2-psychiatric-community-029","陳太太在一次大地震中，親眼目睹自己的家園及女兒被海嘯吞噬，而自己也因躲避海嘯而身體多處受傷。事發後，陳太太出現反覆夢見自己被海嘯吞噬的惡夢，不想參加任何活動，對未來抱持悲觀的心態，且不願談論與海嘯有關的話題，出現失眠、易怒等症狀，症狀持續一個月仍未改善，請問陳太太最可能的診斷為何？",29,{"webId":40,"stem":41,"number":42,"year":43,"session":29},"nurse-107-1-psychiatric-community-045","布氏指數（Breteau Index）是病媒蚊幼蟲調查指數之一，是以何種單位計算有病媒蚊幼蟲陽性之容器總數？",45,107,{"webId":45,"stem":46,"number":47,"year":43,"session":10},"nurse-107-2-psychiatric-community-059","有關社區健康營造的敘述，下列何者正確？①希望能改善民眾健康狀況與生活品質 ②希望透過社區發展方式讓民眾能解決社區健康議題 ③希望能發揮民眾自決、自主與自助的力量 ④最終目的是改變社區環境",59,{"webId":49,"stem":50,"number":51,"year":52,"session":10},"nurse-109-2-psychiatric-community-017","身為主護護理師，此階段照護何者最重要？",17,109,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-110-2-psychiatric-community-061","有關醫療廢棄物的處理，下列敘述何者正確？",61,110,{"webId":59,"stem":60,"number":61,"year":62,"session":29},"nurse-112-1-psychiatric-community-015","陳先生診斷為思覺失調症，有嚴重幻聽干擾，時而聽見有人在稱讚他，時而又在指責他，導致他情緒起伏不定，因而多數時間都獨自躺床與幻聽對話。下列何項護理措施最適宜？",15,112,"2026-09-04",1788510700152]