[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-106-2-psychiatric-community-037":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-037","nurse-106-2-psychiatric-community-037",106,2,37,"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？",{"A":14,"B":15,"C":16,"D":17},"王先生有可能因為面對重大變化，慣用的問題解決技巧不足以用來解決日常生活問題，而產生中年男子的成熟性危機","王先生的雙重打擊應會導致創傷後壓力症，需要立即請精神科醫師介入治療","亞吉勒拉（Aguilera）的理論，王先生若對事件有正向理解、有效因應機制、足夠資源支持就會減少危機的發生","王先生極力拒絕專業協助，他應有自己的因應方式，我們不需擔心","C",null,[],"本題考點為 Aguilera 危機平衡模式的三大平衡因子。依亞吉勒拉(Aguilera)理論,個體面對壓力事件是否演變為危機,取決於三個平衡因子:對事件的正確認知、適當的社會支持,以及有效的因應機制;三者充足即能維持平衡、減少危機發生,故 C 正確。A 誤用「成熟性(發展性)危機」——中年喪妻與天災屬突發外在事件所致的「情境性危機」,非源於發展階段轉換的成熟性危機;B 逕斷雙重打擊「必然」導致創傷後壓力症並需立即精神科介入,過度病理化且武斷,是否發病因人而異;D 主張不需介入、放任個案拒絕協助,忽略危機評估與自傷風險,不符護理責任。判斷關鍵在辨識三平衡因子與「情境性\u002F成熟性」危機之別。","Aguilera 平衡因子(balancing factors)三支柱記憶口訣:認知正確(realistic perception)、支持足夠(situational support)、因應有效(coping mechanisms),缺一即可能失衡進入危機。危機分類:成熟性\u002F發展性危機(可預期,如青春期、更年期、退休)vs 情境性危機(突發不可預期,如喪親、失業、天災)。本題屬情境性危機。與 036 題串連:036 考介入原則、037 考評估架構,構成危機處理完整框架。選項 A 的「成熟性危機」與 B 的「必然導致 PTSD」皆是常見誤導。",[24,27,30,33],{"term":25,"count":26},"危機介入",4,{"term":28,"count":29},"情境性危機",3,{"term":31,"count":32},"Aguilera 平衡因子",1,{"term":34,"count":32},"認知\u002F支持\u002F因應",[36,40,45,49,54,59],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-106-2-psychiatric-community-038","張先生 70 歲，獨居，因為面臨居住幾十年的違章建築要被拆除，張先生一直以死抗議，這天因為表示要自焚，被鄰居送來精神科病房住院進行自殺防範，關於自殺防範護理措施，下列何者最適宜？",38,{"webId":41,"stem":42,"number":43,"year":44,"session":32},"nurse-107-1-psychiatric-community-054","有關標準化比率之描述，下列何者較不適當？",54,107,{"webId":46,"stem":47,"number":48,"year":44,"session":10},"nurse-107-2-psychiatric-community-068","下列何者符合家族網（kin network）的特徵？",68,{"webId":50,"stem":51,"number":52,"year":53,"session":10},"nurse-109-2-psychiatric-community-026","下列有關社區精神復健的照顧重點敘述，何者最適切？",26,109,{"webId":55,"stem":56,"number":57,"year":58,"session":10},"nurse-110-2-psychiatric-community-070","有關學校衛生法的敘述，下列何者錯誤？",70,110,{"webId":60,"stem":61,"number":62,"year":63,"session":32},"nurse-112-1-psychiatric-community-024","有關中度焦慮的照護原則，下列何者最適宜？",24,112,"2026-09-04",1788510700263]