[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-106-2-psychiatric-community-036":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-036","nurse-106-2-psychiatric-community-036",106,2,36,"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？",{"A":14,"B":15,"C":16,"D":17},"減少王先生表達對創傷事件的感覺，以免衍生自責及導致創傷後壓力症","減少王先生的環境操控，僅保留現有支持系統，避免多餘的刺激或壓力","著重王先生的問題如何影響他眼前的生活，運用其優點及支持系統，提供立即性的支持渡過危機","依卡普蘭危機理論，4～6 個月之內王先生的心理最易受傷害，也最能接受幫助，因此處置時間以 4～6 個月為原則","C",null,[],"本題考點為危機介入的首要照護原則。依危機介入理論,面對急性創傷者,首要在協助個案聚焦「此時此地(here and now)」對現實生活的影響,運用其既有優點與支持系統,提供立即性支持以協助渡過危機,故選 C。A 抑制個案表達創傷感受違反危機處理原則,情緒宣洩本身具療癒性,不應壓抑;B「減少環境操控、僅保留現有支持」過於消極,危機介入應積極動員資源而非限縮;D 誤植卡普蘭(Caplan)理論,危機的心理易受傷害期通常為 4～6 週而非 4～6 個月,危機介入本質是短期(約 6 週內)的處置。判斷關鍵在危機介入「聚焦當下、動員資源、短期立即」三原則。","危機的自然病程約 4～6 週會自行趨於平衡(不論結果好壞),故危機介入定位為短期、目標導向、聚焦當前問題的處置,不同於長期心理治療。Caplan 將預防醫學概念引入心理衛生。介入焦點口訣:此時此地(here-and-now)、個案優勢、現有支持、恢復到危機前功能水準。選項 D 把「週」改成「月」是典型時間單位陷阱;A 壓抑情緒表達與危機介入鼓勵宣洩的精神相反。與下一題(037)同一情境,可一併理解 Aguilera 的平衡因子概念。",[24,27,30,33],{"term":25,"count":26},"Caplan 危機理論",4,{"term":28,"count":29},"危機介入理論",3,{"term":31,"count":32},"此時此地",1,{"term":34,"count":32},"危機約 4-6 週",[36,40,45,49,54,59],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-106-2-psychiatric-community-037","承上題，王先生面對此雙重打擊，有關其反應與調適的敘述，下列何者正確？",37,{"webId":41,"stem":42,"number":43,"year":44,"session":32},"nurse-107-1-psychiatric-community-053","某疾病發生率在男性是女性的 5 倍，但是該疾病的盛行率在性別上並無差異，造成此現象最可能的原因為：",53,107,{"webId":46,"stem":47,"number":48,"year":44,"session":10},"nurse-107-2-psychiatric-community-067","社區衛生護理師扮演的代言人（advocate）角色，下列敘述何者最適當？",67,{"webId":50,"stem":51,"number":52,"year":53,"session":10},"nurse-109-2-psychiatric-community-025","陳女士 45 歲，診斷思覺失調症，已有 20 年病史，無明顯急性症狀，有部分自我照顧能力不足，下列護理措施何項較適合？",25,109,{"webId":55,"stem":56,"number":57,"year":58,"session":10},"nurse-110-2-psychiatric-community-069","有關理想的校園健康環境，下列何者錯誤？",69,110,{"webId":60,"stem":61,"number":62,"year":63,"session":32},"nurse-112-1-psychiatric-community-023","謝女士因恐慌症（Panic Disorder）入院，今早開始感覺心跳加速、呼吸困難、頭暈、胸悶，前去向護理師求助，下列護理處置何者最為優先？",23,112,"2026-09-04",1788510700257]