[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-107-1-psychiatric-community-027":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"lastmod":64},"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-027","nurse-107-1-psychiatric-community-027",107,1,27,"承上題，古先生問題的心理復健，請問下列說明何者最適切？",{"A":14,"B":15,"C":16,"D":17},"古先生可採增強動機治療（Motivation Enhancement Therapy），治療目標在強化其家屬支持動員的力量，以期持續達成改變","古先生若採動力心理治療（Psychodynamic Psychotherapy），重點放在面質古先生的生理狀態與家庭成員及物質使用的互動關係，強化其家人戒治的責任","古先生可運用系統理論進行認知治療，強化其家庭對古先生行為修正","古先生可採家庭治療，對家庭問題進行診斷，並澄清成員在家中角色、期待、責任與感受","D",null,[],"本題考點是物質成癮者心理復健中家庭治療的目標。依家庭系統觀點,成癮常鑲嵌於失功能的家庭互動(如與權威父親長期對立),家庭治療的重點在對家庭整體問題進行評估診斷,並澄清各成員在家中的角色、期待、責任與感受,以重建健康互動,故選 D。A 錯在把增強動機治療的目標窄化為「強化家屬支持動員」,動機式治療的核心是提升個案自身改變動機,對象是個案而非家屬動員。B 錯在動力心理治療的重點被誤植為「面質生理狀態」並「強化家人戒治責任」,動力治療著重潛意識衝突與內在關係,且面質語氣與其取向不符。C 錯在用「系統理論做認知治療」概念混淆,認知治療處理個人思考偏誤,與系統理論的家庭焦點不相稱。故 D 最切合家庭治療本質。","此案的關鍵線索是「母親早逝、與權威父親對立衝突」,直接指向家庭關係議題,故家庭治療最對症。辨題訣竅:治療名稱要與其標的層次一致——動機式晤談(對個案動機)、動力治療(對潛意識)、認知治療(對思考)、家庭治療(對關係系統)。C 的錯誤是把「系統」與「認知」硬湊。可連結:家庭系統理論、次系統與界線、代罪羔羊、成癮的家庭共依附。",[24,27,30,32],{"term":25,"count":26},"家庭治療",5,{"term":28,"count":29},"家庭系統理論",4,{"term":31,"count":10},"成癮心理復健",{"term":33,"count":10},"治療取向辨識",[35,39,44,49,54,59],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-107-1-psychiatric-community-028","承上題，護理師對古先生入院時，有關生理、心理、社會、智能以及靈性五大層面評估的重點，下列何者正確？",28,{"webId":40,"stem":41,"number":42,"year":9,"session":43},"nurse-107-2-psychiatric-community-044","下列何項屬於社區中非正式資源？",44,2,{"webId":45,"stem":46,"number":47,"year":48,"session":43},"nurse-108-2-psychiatric-community-058","根據世界衛生組織的定義，所謂超高齡社會是指該國家 65 歲以上老年人口占總人口比率為何？",58,108,{"webId":50,"stem":51,"number":52,"year":53,"session":10},"nurse-110-1-psychiatric-community-016","王小姐診斷為妄想症（delusional disorder），認為自己的伙食被下毒，而拒絕食用，下列護理措施何者最適切？",16,110,{"webId":55,"stem":56,"number":57,"year":58,"session":10},"nurse-111-1-psychiatric-community-060","自來水廠淨水工程中採用的曝氣法，主要目的為何？①增加一氧化碳，抑制藻類植物的生長 ②去除水中有害氣體及不良氣味 ③過濾及淨化水質 ④提高 pH 值，以減少水管腐蝕性",60,111,{"webId":60,"stem":61,"number":62,"year":63,"session":43},"nurse-112-2-psychiatric-community-014","個別心理治療的主要目的與原則，適當的措施包括下列那些項目？①鼓勵病人自我表露 ②修正阻礙改變的阻力 ③協助了解疾病診斷 ④提供社區就業資訊",14,112,"2026-09-04",1788510704253]