[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-107-1-psychiatric-community-005":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":32,"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-107-1-精神科與社區衛生護理學-005","nurse-107-1-psychiatric-community-005",107,1,5,"在精神科病房住院病人中，護理師與病人接觸時間最多，與病人建立治療性人際關係，宜善用此治療性人際關係，促進病人自我改變與成長，護理師在評估病人是否適合個別心理治療之條件中，下列何者為宜？①智力中上 ②個性執著 ③症狀不嚴重 ④有內省的能力",{"A":14,"B":15,"C":16,"D":17},"①②③","①②④","①③④","②③④","C",null,[],"本題考點在於評估病人是否適合接受個別心理治療的條件。依心理治療的適應條件，個案需具備一定的認知與反思能力，故①智力中上、③症狀不嚴重（現實感尚可、能配合會談）、④有內省的能力（能覺察並反思自己的想法情緒）三者皆為適合條件，選 C（①③④）。②個性執著為不利條件：性格過度固著、缺乏彈性者較難在治療中修正認知與行為、不易接受新觀點，反而阻礙治療進展，故不納入。","個別心理治療（尤其是頓悟取向）高度依賴個案的「心理性思考能力」：能把情緒轉為語言、能觀察自己、願意反思並嘗試改變。因此篩選條件通常包括足夠的智力與語言能力、現實感完整、症狀未嚴重到無法專注會談、具內省力與改變動機，以及能與治療者建立工作同盟。過度固著、僵化的人格特質會抗拒改變、難以形成有效同盟，屬相對不利因素。臨床上急性精神病症狀強烈、現實感嚴重受損者，會先以藥物與支持性介入穩定，待狀態改善再考慮較深入的個別治療。記憶點：能想、能談、能反省、症狀不擋路者最適合。",[24,26,28,30],{"term":25,"count":10},"個別心理治療適應症",{"term":27,"count":10},"內省能力",{"term":29,"count":10},"現實感",{"term":31,"count":10},"人格固著為不利因素",[33,37,42,47,52,57],{"webId":34,"stem":35,"number":36,"year":9,"session":10},"nurse-107-1-psychiatric-community-006","李先生罹患思覺失調症（昔稱精神分裂症；Schizophrenia）多年，因服藥遵從性不佳致經常發病住院治療，住院後，護理師評估後與醫師討論，醫囑開立 Risperidone（Risperiodone consta）25 mg 肌肉注射，下列何項正確？①藥物性質為油性 ②推藥速度宜快速 ③注射後不可按摩 ④限臀部深層肌肉注射",6,{"webId":38,"stem":39,"number":40,"year":9,"session":41},"nurse-107-2-psychiatric-community-022","雙相情緒障礙症病人的誇大言辭，常使用何種心理防衛機轉掩飾內心的無助與自卑？",22,2,{"webId":43,"stem":44,"number":45,"year":46,"session":41},"nurse-108-2-psychiatric-community-036","有關多元與安全醫療照護環境的敘述，下列何者正確？",36,108,{"webId":48,"stem":49,"number":50,"year":51,"session":41},"nurse-109-2-psychiatric-community-074","有關長期照顧管理中心照顧管理專員之職責，下列何者錯誤？",74,109,{"webId":53,"stem":54,"number":55,"year":56,"session":10},"nurse-111-1-psychiatric-community-038","王小姐，45 歲，體重適中，是居住在社區的思覺失調症病人，因服用抗精神病藥物 clozapine，之後發現有代謝症候群。下列敘述何者最適當？",38,111,{"webId":58,"stem":59,"number":60,"year":61,"session":10},"nurse-112-1-psychiatric-community-072","王老先生因為失能遷居入住護理之家，關於遷移壓力症候群之照護措施，下列敘述何者較不適宜？",72,112,"2026-09-04",1788510704049]