[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-107-1-psychiatric-community-021":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-021","nurse-107-1-psychiatric-community-021",107,1,21,"簡先生，24 歲，診斷為思覺失調症，個子矮小，沒自信，說話極小聲，從小求學成績不佳，人際關係不好，後來被分派到資源班就讀，常受同學欺負，護理師今天發現個案都躲在房間不願意到大廳活動，與之會談表示某病友昨天傍晚打他，搶他的食物吃，有走到護理站，但不知怎麼跟護理師說。護理師的回應，下列那一項最適切？",{"A":14,"B":15,"C":16,"D":17},"教導病人並示範到護理站時如何尋求協助","要求施暴病友前來向個案道歉","安排時間讓施暴病友與病人當面說明當天發生的情況","告知病人，遇到問題要有基本防禦能力","A",null,[],"本題考點在於慢性精神病人受害後的護理處置原則:賦能與技能訓練優於代勞或對質。個案自幼缺乏自信、人際技巧不足、被欺負時「走到護理站卻不知怎麼說」,顯示核心缺損是「求助表達能力」,依社會技巧訓練原則,護理師應以教導加示範方式讓個案學會如何主動尋求協助,故選 A。B 要求施暴者道歉,焦點放在對方而非提升個案能力,且可能引發衝突。C 安排雙方當面說明,對缺乏自信、易受威脅的個案是二度壓力,不符保護原則。D 告知病人「要有基本防禦能力」屬空泛指責,未提供可操作的技巧,反增其挫敗感。三個錯項的共同盲點都是未針對個案「不會求助」的實際缺損下手。","此題呼應精神復健的核心理念:培力(empowerment)與社會技巧訓練(SST)。SST 的標準流程為「教導—示範—角色扮演—回饋—類化到真實情境」,選項 A 正好是前兩步。對思覺失調症合併長期低自尊者,直接處理加害者或要求其自我防衛,都跳過了「技能不足」這個病因層次。記憶口訣:護理處置優先序為「教他釣魚(技能)> 替他抓魚(代勞)> 責他不會釣(指責)」。可連結延伸:自我效能(Bandura)、正向增強、精神復健的「希望—能力—連結」三要素。",[24,26,28,30],{"term":25,"count":10},"社會技巧訓練",{"term":27,"count":10},"培力賦能",{"term":29,"count":10},"精神復健原則",{"term":31,"count":10},"低自尊護理",[33,37,42,47,52,57],{"webId":34,"stem":35,"number":36,"year":9,"session":10},"nurse-107-1-psychiatric-community-022","憂鬱症病人最容易發生自殺的期間為何？",22,{"webId":38,"stem":39,"number":40,"year":9,"session":41},"nurse-107-2-psychiatric-community-038","林小姐主動向護理師表示：「我的存在造成了家人的困擾」、「有什麼方法可以解脫」、「吃安眠藥會死嗎？」，此時護理師要對林小姐進行自殺危險程度評估，護理師之回應，下列何者最適當？",38,2,{"webId":43,"stem":44,"number":45,"year":46,"session":41},"nurse-108-2-psychiatric-community-052","社區衛生護理師家訪印尼籍新移民王太太，發現她左臉及手腳有多處新舊不同之瘀青，主訴自己從樓梯處跌落，下列處置何者最適切？",52,108,{"webId":48,"stem":49,"number":50,"year":51,"session":10},"nurse-110-1-psychiatric-community-010","當罹患思覺失調症病人不斷敘述他的妄想內容時，下列何項護理措施較適當？",10,110,{"webId":53,"stem":54,"number":55,"year":56,"session":10},"nurse-111-1-psychiatric-community-054","根據世界衛生組織（WHO）對社區的定義，下列何者正確？",54,111,{"webId":58,"stem":59,"number":60,"year":61,"session":41},"nurse-112-2-psychiatric-community-008","護理師展現同理心（empathy），下列描述何者最適切？",8,112,"2026-09-04",1788510704192]