[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-106-2-psychiatric-community-035":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":36,"lastmod":65},"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-035","nurse-106-2-psychiatric-community-035",106,2,35,"下列何者是全球積極推動「社區心理衛生」的原因？①人們對於精神病人人權問題的重視 ②精神疾病治療模式的改變 ③機構化運動的觀念 ④精神藥物的發明與應用",{"A":14,"B":15,"C":16,"D":17},"①②③","①②④","①③④","②③④","B",null,[],"本題考點為全球推動社區心理衛生的成因辨析,採組合題。推動社區心理衛生的主因包括:①對精神病人人權的重視(去污名、保障權益)、②治療模式由機構收容轉向社區照護、④精神藥物(如抗精神病藥)發明使病人能於社區穩定生活,三者皆為正確助力,故選含①②④的 B。③「機構化運動的觀念」方向相反——正是「去機構化(deinstitutionalization)」而非「機構化」才是推動社區心理衛生的動力,機構化代表大型收容、與社區化背道而馳,故含③的選項均錯。判斷關鍵在辨識「去機構化」與「機構化」一字之差的方向錯誤。","社區精神醫療的歷史脈絡:1950 年代 chlorpromazine 等抗精神病藥問世,使急性症狀可藥物控制,病人不必長期住院;加上人權運動批判大型精神病院的隔離與剝奪,催生 1960 年代美國《社區心理衛生中心法案》的去機構化浪潮。三大推力口訣:藥物(能治)、人權(該放)、模式轉變(社區承接)。陷阱設計:把「去機構化」改成「機構化」測試考生是否理解方向;凡看到「機構化運動」促進社區化,應直接判為錯誤。",[24,27,30,33],{"term":25,"count":26},"去機構化",16,{"term":28,"count":29},"社區心理衛生",5,{"term":31,"count":32},"抗精神病藥物",3,{"term":34,"count":35},"精神病人人權",1,[37,41,46,50,55,60],{"webId":38,"stem":39,"number":40,"year":9,"session":10},"nurse-106-2-psychiatric-community-036","王先生 44 歲，原於山上種植咖啡，去年遭受嚴重風災導致咖啡園全毀及妻子去世之雙重打擊，下列何者為首要的照護措拖？",36,{"webId":42,"stem":43,"number":44,"year":45,"session":35},"nurse-107-1-psychiatric-community-052","有關健康促進的推動，下列何者錯誤？",52,107,{"webId":47,"stem":48,"number":49,"year":45,"session":10},"nurse-107-2-psychiatric-community-066","廢棄物處理程序分前、中及最終處置三部分，下列何者為最終處置？",66,{"webId":51,"stem":52,"number":53,"year":54,"session":10},"nurse-109-2-psychiatric-community-024","承上題，楊女士有活動過多情形，安排下列何項活動較適合？①寫書法 ②繪畫 ③下棋 ④剪紙",24,109,{"webId":56,"stem":57,"number":58,"year":59,"session":10},"nurse-110-2-psychiatric-community-068","回教信仰的新住民產婦拒吃婆婆煮的麻油豬肝，引起婆婆不悅，下列護理措施何者最適當？",68,110,{"webId":61,"stem":62,"number":63,"year":64,"session":35},"nurse-112-1-psychiatric-community-022","有關焦慮病人的護理評估，下列何者適宜？①焦慮是一種精神疾患，不須注重生理層面評估 ②護理人員應從病人語言及非語言訊息評估情緒問題 ③評估病人認知層面，有助於了解焦慮的程度 ④評估病人靈性層面，有助於了解病人因應行為的來源",22,112,"2026-09-04",1788510700252]