[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-107-1-psychiatric-community-025":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"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-025","nurse-107-1-psychiatric-community-025",107,1,25,"有關蘇小姐因強迫症嚴重住院治療，常出現重複洗手行為，下列治療策略何者最適切？",{"A":14,"B":15,"C":16,"D":17},"不宜進行蘇小姐思考與感受的觀察，應直接進行行為治療","以系統減敏法改善重複洗手行為","採用洪水法，立即讓蘇小姐不斷去面對畏懼的情境，迅速降低焦慮","洗手行為一出現時立即約束隔離，強制進行四肢約束，以降低焦慮","B",null,[],"本題考點是強迫症重複行為的行為治療選擇與原則。依系統減敏法(systematic desensitization)原理,透過建立焦慮階層、配合放鬆訓練,由低到高逐步暴露以漸進降低焦慮,對重複洗手這類與焦慮連動的行為屬適切且人道的治療,故選 B。A 錯在主張「不宜觀察病人思考與感受」,認知與情緒評估是行為治療的重要基礎,不可略過。C 洪水法(flooding)雖屬暴露治療,但「立即、不斷面對畏懼情境以迅速降焦慮」對嚴重個案風險高、易造成過度壓力,非本題最適切選項。D 洗手一出現即約束隔離、強制四肢約束,屬懲罰性與剝奪性處置,違反最小限制原則,不是治療。四選項中僅 B 兼顧漸進與安全。","強迫症第一線行為治療其實是暴露不反應法(ERP);在考題脈絡下,系統減敏法代表「漸進、可控、配合放鬆」的暴露取向,對照洪水法的「一次到頂」。辨題原則:重症、人道、漸進者優先。約束隔離屬危機處置而非常規治療,受最小限制原則規範。記憶對比:系統減敏=慢慢爬階梯+放鬆;洪水法=直接跳深水。可延伸:焦慮階層、交互抑制、ERP、最小限制原則。",[24,27,30,32],{"term":25,"count":26},"最小限制原則",12,{"term":28,"count":29},"強迫症行為治療",2,{"term":31,"count":10},"系統減敏法",{"term":33,"count":10},"暴露治療",[35,39,43,48,53,58],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-107-1-psychiatric-community-026","古先生為富二代獨子，母親早逝與權威父親經常對立且常有衝突，經常在外與朋友以毒品自我麻醉，目前診斷為海洛因之物質障礙症，住院後下列治療之說明何者正確？",26,{"webId":40,"stem":41,"number":42,"year":9,"session":29},"nurse-107-2-psychiatric-community-042","有關病例對照研究法（case-control study）與世代研究（cohort study）的比較，下列何者錯誤？",42,{"webId":44,"stem":45,"number":46,"year":47,"session":29},"nurse-108-2-psychiatric-community-056","有關代謝症候群的防治策略，下列何者為初段預防？",56,108,{"webId":49,"stem":50,"number":51,"year":52,"session":10},"nurse-110-1-psychiatric-community-014","有關妄想症（delusional disorder）的敘述，下列何者正確？",14,110,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-111-1-psychiatric-community-058","有關空氣污染的敘述，下列何者正確？",58,111,{"webId":59,"stem":60,"number":26,"year":61,"session":29},"nurse-112-2-psychiatric-community-012","張小姐，診斷為妄想症，因懷疑學校同事向校長告狀阻礙其升遷，而有頻繁投訴教育部及謾罵同事等行為，由家屬陪同住院治療。下列護理措施，何者最適切？",112,"2026-09-04",1788510704233]