[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-107-1-psychiatric-community-018":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"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-018","nurse-107-1-psychiatric-community-018",107,1,18,"謝太太因為情緒高昂，被先生帶來醫院求診。言談誇大、意念飛躍、好管閒事，今日護生與其會談中，謝太太強烈質疑護生的衛教內容，雙方出現好辯爭論。照護此病人的主護護理師，下列何種處理適宜？",{"A":14,"B":15,"C":16,"D":17},"順其自然，採取中立立場","擬定行為約定，規範個案合宜的互動","制止不當言行，降低個案自大心態","了解雙方的想法，適時引導與澄清","D",null,[],"本題考點在於躁症病人出現好辯爭論時的處理。個案情緒高昂、意念飛躍、誇大且好辯，依治療性溝通與躁症照護原則，護理師應保持中立、了解雙方的想法並適時引導與澄清，避免被捲入爭辯，故選 D。A 錯：「順其自然採中立立場」流於被動不介入，未處理當下的爭論張力。B 錯：在雙方正激烈爭論的當下臨時擬定行為約定，時機不宜，也難達成共識。C 錯：以「制止不當言行、降低自大心態」的對抗方式回應，只會激化躁症病人的防衛與衝突，破壞治療關係，故不適當。","躁症病人常有情緒高昂、意念飛躍、誇大、易怒與好辯的特徵，與其正面爭辯或壓制只會升高對立。溝通原則是「不辯論、不批判、保持冷靜與一致、以簡短清楚的語言引導」，先理解雙方立場、澄清誤解、把焦點從輸贏拉回問題本身。行為約定與界限設定確有其位置，但應在情緒相對平穩、能協商時進行，而非衝突當下臨時祭出（否定 B）。中立不等於放任不管（否定 A），也不等於針鋒相對地打壓（否定 C）。記憶點：面對躁症的好辯，護理師當「引導與澄清的中介者」，不當「贏過他的對手」。",[24,27,30,32],{"term":25,"count":26},"治療性溝通",46,{"term":28,"count":29},"躁症照護",2,{"term":31,"count":29},"避免爭辯",{"term":33,"count":10},"引導與澄清",[35,39,43,48,53,58],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-107-1-psychiatric-community-019","陳先生，48 歲，診斷思覺失調症，入院第 4 天，表示自己是孫悟空齊天大聖，具有七十二變的能力，活動量大，時有膜拜行為，表示看到觀世音菩薩降臨，偶有做出打鬥行為，表示要與邪魔鬥法，無法安靜用餐，進食量差，必須提醒下才可完成自我照顧，下列那一項護理措施最適切？",19,{"webId":40,"stem":41,"number":42,"year":9,"session":29},"nurse-107-2-psychiatric-community-035","有關發展社區心理衛生的第二段預防服務，下列何者屬於該段服務內容？",35,{"webId":44,"stem":45,"number":46,"year":47,"session":29},"nurse-108-2-psychiatric-community-049","空氣品質指標（AQI）所參照之污染物濃度，不包括下列何者？",49,108,{"webId":49,"stem":50,"number":51,"year":52,"session":10},"nurse-110-1-psychiatric-community-007","對憂鬱症的病人進行「人際關係心理治療」，下列敘述何者較適當？",7,110,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-111-1-psychiatric-community-051","下列何種評價是在計畫執行完成後，用以衡量該計畫的價值？",51,111,{"webId":59,"stem":60,"number":61,"year":62,"session":29},"nurse-112-2-psychiatric-community-005","有關抗精神病藥物的敘述，下列何者正確？",5,112,"2026-09-04",1788510704169]