[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-107-1-fundamental-nursing-053":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":35,"lastmod":64},"基本護理學與護理行政","fundamental-nursing","基本護理學(包括護理原理、護理技術)與護理行政",{"id":8,"webId":9,"year":10,"session":11,"subject":4,"number":12,"stem":13,"options":14,"answer":19,"answerNote":20,"images":21,"explanation":22,"explanationDeep":23,"topics":24,"freq":27},"nurse-107-1-基本護理學與護理行政-053","nurse-107-1-fundamental-nursing-053",107,1,53,"宋女士 52 歲，乳癌末期，因癌細胞侵犯神經導致下半身無力，宗教信仰為基督教，某日眼泛淚光地對護理師說：「如果神愛我，為何將我困在這樣的身體裡？」，當下護理師何種應對最為適切？",{"A":15,"B":16,"C":17,"D":18},"轉介神職人員解釋基督教義","接納其哀傷為正常反應","再保證神愛世人","鼓勵病人正向面對苦難","B",null,[],"本題考點是靈性困擾（spiritual distress）的治療性溝通。依靈性照護原則，病人表達的是對信仰的懷疑與哀傷，護理師此刻應同理陪伴，接納這種質疑與悲傷為面對重症的正常反應（B），讓病人被接納才能宣洩情緒，故 B 最適切。A 轉介神職人員解釋教義，是急於把問題外推、未先回應當下情緒。C 再保證「神愛世人」屬於一種安撫式再保證（false reassurance），否定了病人的真實感受、阻斷溝通。D 鼓勵「正向面對苦難」是說教與價值強加，同樣忽略病人的哀傷，皆屬非治療性溝通。","治療性溝通的核心是先處理情緒、再處理內容。病人的憤怒與質疑是哀傷歷程的一部分，對照 Kübler-Ross 五階段常見『憤怒』與『討價還價』。護理師採『接納—反映情感—同理』而非『解釋—保證—建議』。四個選項可分兩類：B 是開放接納型，其餘三個是阻斷型（轉介推走、再保證否定、說教施壓）。國考靈性與溝通題的通則：選『接納感受、陪伴傾聽』，避開『轉介、再保證、給建議、講道理』。",[25,28,31,33],{"term":26,"count":27},"治療性溝通",22,{"term":29,"count":30},"哀傷反應",2,{"term":32,"count":11},"靈性困擾",{"term":34,"count":11},"接納與同理",[36,40,44,49,54,59],{"webId":37,"stem":38,"number":39,"year":10,"session":11},"nurse-107-1-fundamental-nursing-054","有關純蛋白衍化物試驗（purified protein derivative, PPD test），下列敘述何者正確？",54,{"webId":41,"stem":42,"number":43,"year":10,"session":30},"nurse-107-2-fundamental-nursing-070","醫院護理部延聘學者擔任顧問，協助指導同仁從事護理研究，這是屬於官僚式組織（bureaucracy organization）中何種類型？",70,{"webId":45,"stem":46,"number":47,"year":48,"session":30},"nurse-108-2-fundamental-nursing-004","關於導尿管水球（氣囊）之敘述，下列何者正確？",4,108,{"webId":50,"stem":51,"number":52,"year":53,"session":30},"nurse-109-2-fundamental-nursing-042","以徒手肌肉檢查（manual muscle test）病人左側肢體的肌肉有輕微收縮，但無法移動關節，其肌肉力量（muscle power）等級為何？",42,109,{"webId":55,"stem":56,"number":57,"year":58,"session":11},"nurse-111-1-fundamental-nursing-006","下列何者不屬於內科無菌的技術？",6,111,{"webId":60,"stem":61,"number":62,"year":63,"session":11},"nurse-112-1-fundamental-nursing-040","楊先生為慢性腎臟疾病病人，其飲食下列何者最為適宜？",40,112,"2026-09-04",1788510702175]