[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-107-1-psychiatric-community-023":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"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":26},"nurse-107-1-精神科與社區衛生護理學-023","nurse-107-1-psychiatric-community-023",107,1,23,"有關心理防禦機轉之敘述，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"強迫行為源自抵消作用（undoing）目的是藉由某象徵性行為以消除不被接受的行為或想法","強迫思考源自轉移作用（displacement）目的是將某物體所引發的強烈感受轉向另一個較不具威脅性的物體，並迴避之，以降低焦慮","強迫思考源自反向作用（reaction formation）目的在過度使用條理、邏輯、遵守規範以避免出現焦慮感","強迫行為源自理智化（intellectualization）目的有意識地將引起焦慮的痛苦感受與經驗隔除在意識層面外","A",null,[],"本題考點是心理防禦機轉的定義配對。依 Freud 防禦機轉分類,抵消作用(undoing)指以某象徵性行為去「取消、彌補」先前不被接受的想法或衝動,強迫行為(如反覆洗手、檢查)正是以儀式動作抵消焦慮或罪惡感,定義與機轉相符,故選 A。B 錯在把強迫思考歸為轉移作用(displacement),轉移是將情緒導向較不具威脅的對象,與強迫思考的本質不合。C 錯在反向作用(reaction formation)的定義,反向是表現出與真實感受相反的行為,題目所述「過度使用條理邏輯」其實是理智化的描述,配錯了。D 錯在把強迫行為歸為理智化(intellectualization),且理智化的定義是以抽象思考隔離痛苦情感,與「行為」不符。","強迫症的兩大核心防禦是「抵消」與「隔離(isolation)」:強迫思考多用隔離(把想法與其情感切開),強迫行為多用抵消(用儀式取消威脅)。辨題訣竅先看「機轉名詞的定義」再看「配到思考或行為」是否合理。對比表:抵消=做動作彌補;轉移=換個對象出氣;反向作用=表裡相反;理智化=用道理隔開情感;隔離=想法與情緒分家。可延伸:強迫症的認知行為模式、暴露不反應法(ERP)、焦慮的儀式性緩解。",[24,27,29,31],{"term":25,"count":26},"抵消作用undoing",2,{"term":28,"count":26},"強迫行為",{"term":30,"count":10},"防禦機轉",{"term":32,"count":10},"隔離與轉移作用",[34,38,42,47,52,57],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-107-1-psychiatric-community-024","陳女士，50 歲，診斷為思覺失調症，目前居家生活中，其症狀穩定可持續參加社區工作坊活動，她接受工作訓練與自我照顧技能訓練，下列護理措施何者最適宜？",24,{"webId":39,"stem":40,"number":41,"year":9,"session":26},"nurse-107-2-psychiatric-community-040","依據伯姆漢（Blomhoff）及多位國內學者提出評估病人的暴力危險因子，下列描述暴力危險因子何項最適當？",40,{"webId":43,"stem":44,"number":45,"year":46,"session":26},"nurse-108-2-psychiatric-community-054","下列何者為學校護理師執行的非例行性教學？",54,108,{"webId":48,"stem":49,"number":50,"year":51,"session":10},"nurse-110-1-psychiatric-community-012","躁症發作（manic episode）的典型臨床特徵，下列何者較適當？",12,110,{"webId":53,"stem":54,"number":55,"year":56,"session":10},"nurse-111-1-psychiatric-community-056","有關衛生福利部國民健康署推動健康識能（health literacy）的狀況，下列敘述何者錯誤？",56,111,{"webId":58,"stem":59,"number":60,"year":61,"session":26},"nurse-112-2-psychiatric-community-010","下列何項為 BZD 類抗焦慮藥物？",10,112,"2026-09-04",1788510704210]