[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-107-1-psychiatric-community-002":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":37,"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-107-1-精神科與社區衛生護理學-002","nurse-107-1-psychiatric-community-002",107,1,2,"精神科護理師執行病人行為治療的過程中，有關行為治療在臨床運用之陳述，下列何項正確？ ①建立個案的增強物 ②評估個案的改變意願 ③收集個案的問題行為 ④醫療團隊人員分別規劃執行",{"A":14,"B":15,"C":16,"D":17},"①②③","①②④","①③④","②③④","A",null,[],"本題考點在於行為治療於臨床運用的正確步驟。依行為治療的實施原則，須先收集個案的問題行為（③）作為基準、評估個案改變的意願（②）以確保動機、並建立個案的增強物（①）以強化目標行為，這三項為正確要素，故選 A（①②③）。而④「醫療團隊人員分別規劃執行」為錯誤：行為治療成敗高度依賴團隊一致性，若各自規劃、標準不一，會使增強與規範前後矛盾、破壞治療效果，應由團隊協調一致地執行同一套計畫，故不納入。","行為治療建立在操作制約上：透過正增強、負增強、消弱與處罰來塑造行為。臨床落實的邏輯順序是「先評估、再設計、後一致執行」——收集並界定目標問題行為（可觀察、可測量）、評估改變意願與找出對個案有效的增強物（因人而異，需個別化），再設定明確、可達成的目標。整個團隊（護理師、醫師、職能治療、家屬）必須採同一套增強與界限標準，否則個案會在不一致的回饋中無所適從、行為難以塑成。這正是④被排除的關鍵：一致性（consistency）是行為治療的生命線，「分別規劃執行」恰恰違反此原則。",[24,27,30,33,35],{"term":25,"count":26},"行為治療",14,{"term":28,"count":29},"操作制約",5,{"term":31,"count":32},"團隊一致性",3,{"term":34,"count":11},"增強物",{"term":36,"count":10},"問題行為評估",[38,41,45,50,55,60],{"webId":39,"stem":40,"number":32,"year":9,"session":10},"nurse-107-1-psychiatric-community-003","一位診斷為嚴重憂鬱症的女性，結婚生完孩子後便沒有外出工作，成為全職媽媽，平日全心投入照顧家庭，較少有其他社交活動。面對叛逆與不愛唸書的青少年孩子，常過度苛責是自己的錯，一切都是她沒做好母親的角色，此種心理防衛機轉，較可能是使用下列何者？",{"webId":42,"stem":43,"number":44,"year":9,"session":11},"nurse-107-2-psychiatric-community-019","王同學，20 歲，上課時突然站起毆打鄰座同學，表示同學說他壞話，但同學否認，於是班導師將其轉介到心輔室，一星期後又出現攻擊室友的情形，造成室友受傷而報警處理，因王同學當時情緒非常激動，警察將之制伏後送至急診處理，經家屬同意轉至精神科病房接受治療，王同學頻頻詢問這是何處，環伺四周，神情嚴肅，警戒心高，對問話回應簡短，下列護理措施那項最適當？",19,{"webId":46,"stem":47,"number":48,"year":49,"session":11},"nurse-108-2-psychiatric-community-033","安排病人參與社區復健活動，護理師所執行的個案管理措施，下列何者正確？",33,108,{"webId":51,"stem":52,"number":53,"year":54,"session":11},"nurse-109-2-psychiatric-community-071","長期暴露於何種物質的工作環境中，最容易導致罹患帕金森氏症候群？",71,109,{"webId":56,"stem":57,"number":58,"year":59,"session":10},"nurse-111-1-psychiatric-community-035","病人跟護理師說：「我好想死！沒有她，我真的活不下去。」下列何項護理措施最適當？",35,111,{"webId":61,"stem":62,"number":63,"year":64,"session":10},"nurse-112-1-psychiatric-community-069","下列何者屬於社區無形資源？①社區意識 ②人力資源 ③文化規範 ④社區凝聚力 ⑤物力資源",69,112,"2026-09-04",1788510704027]