[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-106-2-psychiatric-community-039":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"lastmod":62},"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":10},"nurse-106-2-精神科與社區衛生護理學-039","nurse-106-2-psychiatric-community-039",106,2,39,"中風臥床多年的周爺爺，兩週前在睡眠中與世長辭，周奶奶正處於悲傷急性期的情境中，在這個階段，照護喪偶的周奶奶，下列那一事項並不急於在此時進行？",{"A":14,"B":15,"C":16,"D":17},"鼓勵周奶奶表達其感覺與想法，並給予情緒上之支持","鼓勵周奶奶積極參與自我成長的活動","評估周奶奶是否出現自我傷害的意念或行為","協助周奶奶維持正常的飲食與生活作息","B",null,[],"本題考點為悲傷急性期的照護重點,採「並不急於此時進行」的排除題型。依悲傷輔導理論,喪偶急性期(哀悼初期)重點在情緒支持、安全維護與維持基本生活功能;鼓勵積極參與自我成長活動屬於悲傷後期、個案逐漸接受失落並重建生活時才適合推動,在急性期反而可能形成壓力,故選 B 為此時不急於進行者。A 鼓勵表達感覺並給予情緒支持是急性期核心;C 評估自我傷害意念因喪親者自殺風險升高而屬急性期必要評估;D 協助維持正常飲食與作息以防生理耗弱,亦為急性期基本照護。判斷關鍵在辨識悲傷歷程「先支持穩定、後成長重建」的時序。","悲傷任務(Worden 四任務):接受失落事實、經驗悲傷痛苦、適應逝者不在的環境、將情感重新投注於新生活。第四任務(重新投入、自我成長)屬後期工作,急性期強推等於跳階。急性期照護三優先:情緒宣洩支持、自傷風險評估、維持生理基本需求(飲食睡眠)。喪偶者為自殺高危族群,C 的評估不可省。此題與危機介入邏輯一致:急性期求穩,成長留待平復後。排除題訣竅:找出「時機不對」而非「本身錯誤」的選項。",[24,26,29,31],{"term":25,"count":10},"自傷風險評估",{"term":27,"count":28},"悲傷輔導",1,{"term":30,"count":28},"Worden 悲傷任務",{"term":32,"count":28},"急性哀悼期",[34,38,43,47,52,57],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-106-2-psychiatric-community-040","一位 14 歲飲食障礙症病患表達：「我之前曾一度吃了麵包變得很胖，因此我現在必須嚴禁吃任何碳水化合物以免發胖。」根據認知扭曲的概念，此種表述為下列何種認知扭曲？",40,{"webId":39,"stem":40,"number":41,"year":42,"session":28},"nurse-107-1-psychiatric-community-056","某國老年人口比率為 12.51%，請問是屬於下列何種社會？",56,107,{"webId":44,"stem":45,"number":46,"year":42,"session":10},"nurse-107-2-psychiatric-community-070","利用 APGAR 家庭功能評估表，詢問個案是否滿意於家人和其討論事情及分擔問題的方式，主要是了解何項家庭功能？",70,{"webId":48,"stem":49,"number":50,"year":51,"session":10},"nurse-109-2-psychiatric-community-028","王同學診斷妄想症，某科考試不及格，出現易怒，無法與人互動，最近因為症狀嚴重故入院治療，住院第 4 天，會談時表示同學們忌妒他成績比較好，都會中傷他，老師也受到其他同學的挑撥，對他特別嚴格，會談中出現哭泣現象，此時護理師的措施何者最適切？",28,109,{"webId":53,"stem":54,"number":55,"year":56,"session":10},"nurse-110-2-psychiatric-community-072","下列何者為我國目前國小校園最常見的傳染病？",72,110,{"webId":58,"stem":59,"number":60,"year":61,"session":28},"nurse-112-1-psychiatric-community-026","根據 DSM-5 診斷準則，人格障礙症（General Personality Disorder）的描述，下列何者最不適宜？",26,112,"2026-09-04",1788510700278]