[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-107-1-psychiatric-community-011":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"lastmod":63},"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-011","nurse-107-1-psychiatric-community-011",107,1,11,"護理師提供病人以任務為導向的「認知行為治療」，針對「認知行為治療」之相關陳述，下列何項正確？①著重於處理此時此刻的問題 ②強調兒童早期發展階段的問題 ③協助克服日常生活中適應不良的困難 ④引導病人調整想法和行為",{"A":14,"B":15,"C":16,"D":17},"①②③","①②④","①③④","②③④","C",null,[],"本題考點在於認知行為治療（CBT）的核心特徵。依 CBT 的理論取向，①著重處理此時此刻的問題、③協助克服日常生活中適應不良的困難、④引導病人調整想法與行為，皆為 CBT 的重點，故選 C（①③④）。②「強調兒童早期發展階段的問題」為錯誤：追溯童年早期經驗與潛意識衝突屬精神分析／心理動力取向的關注，CBT 反而聚焦當下的認知扭曲與可觀察行為、以問題解決為導向，兩種學派取向不同，故不納入。","CBT 建立在「想法、情緒、行為三者相互影響」的模型上：不良的自動化想法與認知扭曲（如災難化、過度類化、非黑即白）會引發負向情緒與適應不良行為，透過辨識並重建這些想法、加上行為實驗與家庭作業，改善症狀。其特色是結構化、有時限、目標明確、聚焦當下與具體問題。這與心理動力治療強調童年經驗、潛意識與移情的長期探索形成對比——②正是把心理動力的關注硬套到 CBT。記憶對照：CBT 問「你現在怎麼想、怎麼做」；心理分析問「你小時候發生了什麼」。本題辨析即在此分野。",[24,27,29,31],{"term":25,"count":26},"認知行為治療",5,{"term":28,"count":10},"認知扭曲重建",{"term":30,"count":10},"聚焦當下問題",{"term":32,"count":10},"與心理動力取向對比",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-107-1-psychiatric-community-012","精神病人一旦被診斷為思覺失調症，將有七、八成的病人會逐漸慢性化，因此，即應為其積極展開相關的復健計畫，下列那些是精神復健治療計畫之主要項目？①心理復健 ②職能復健 ③社會功能復健 ④物理治療復健",12,{"webId":39,"stem":40,"number":41,"year":9,"session":42},"nurse-107-2-psychiatric-community-028","李太太常精神恍惚，注意力不集中，與她溝通之方式，下列何者最適當？",28,2,{"webId":44,"stem":45,"number":46,"year":47,"session":42},"nurse-108-2-psychiatric-community-042","下列何者是用來比較國家公共衛生與醫療進步最敏感與評估婦幼衛生工作推展成效的指標？",42,108,{"webId":49,"stem":50,"number":51,"year":52,"session":42},"nurse-109-2-psychiatric-community-080","張老太太是中度失智症個案，近日家屬對個案常尿濕褲子而困擾，有關社區護理師的護理指導，下列何者最適當？",80,109,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-111-1-psychiatric-community-044","有關「急性病毒性Ａ型肝炎」的敘述，下列何者錯誤？",44,111,{"webId":59,"stem":60,"number":61,"year":62,"session":10},"nurse-112-1-psychiatric-community-078","依據糖尿病照護指引，糖尿病之控制標準下列何者較不適宜？",78,112,"2026-09-04",1788510704111]