[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-107-1-psychiatric-community-028":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-028","nurse-107-1-psychiatric-community-028",107,1,28,"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？",{"A":14,"B":15,"C":16,"D":17},"進行社會層面的評估，包括海洛因的使用型態、使用影響、危險因子","進行心理層面評估時，護理師必須覺察自己對成癮行為的價值、態度與感受","評估智能層面時，常見此類個案的無效防禦機轉為投射與外射行為","有關社會層面的評估，強調對物質的渴求與生命之無望感","B",null,[],"本題考點是成癮個案生理—心理—社會—智能—靈性五大層面評估的正確歸類與自我覺察。依治療性關係原則,護理師面對成癮行為時,必須先覺察自己對成癮的價值觀、態度與感受,以免污名化或反移情影響照護,此屬心理層面評估的重點,故選 B。A 錯在層面歸類:海洛因的使用型態、影響與危險因子屬「生理\u002F物質使用」層面評估,非社會層面。C 錯在智能層面被塞入防禦機轉內容,投射與外射屬心理防禦而非智能功能,智能層面評估的是認知、判斷等能力。D 錯在把「對物質的渴求與無望感」歸為社會層面,渴求屬生理心理、無望感屬心理與靈性,與社會層面(家庭、經濟、支持系統)不符。四選項比較後,僅 B 的層面與內容一致。","生理心理社會靈性評估(biopsychosocial-spiritual)最常考「內容配錯層面」。速記:使用型態\u002F戒斷=生理;情緒、防禦、自我覺察=心理;家庭、工作、經濟、法律=社會;認知判斷=智能;意義、無望、希望=靈性。護理師的自我覺察之所以列心理層面重點,是因反移情會直接損害治療性關係。可連結:治療性關係、反移情、污名化、成癮的多層面評估。",[24,26,28,30],{"term":25,"count":10},"生理心理社會靈性評估",{"term":27,"count":10},"護理師自我覺察",{"term":29,"count":10},"反移情",{"term":31,"count":10},"評估層面歸類",[33,37,42,47,52,57],{"webId":34,"stem":35,"number":36,"year":9,"session":10},"nurse-107-1-psychiatric-community-029","下列有關失智症之敘述，何者最適切？",29,{"webId":38,"stem":39,"number":40,"year":9,"session":41},"nurse-107-2-psychiatric-community-045","王先生外出用餐食用生鮮魚貝類，返家後開始出現下痢、腹痛、噁心、嘔吐、頭痛、腹瀉等急性腸胃不適，依此症狀判斷，最有可能由何種細菌引起？",45,2,{"webId":43,"stem":44,"number":45,"year":46,"session":41},"nurse-108-2-psychiatric-community-059","衛生福利部中央健康保險署 2015 年決議二代健保的描述，下列何者錯誤？",59,108,{"webId":48,"stem":49,"number":50,"year":51,"session":10},"nurse-110-1-psychiatric-community-017","鬱症發作（depressive episode）的典型臨床特徵，下列何者較適當？",17,110,{"webId":53,"stem":54,"number":55,"year":56,"session":10},"nurse-111-1-psychiatric-community-061","當環境噪音達多少分貝以上時，應立即配戴防音的防護具？",61,111,{"webId":58,"stem":59,"number":60,"year":61,"session":41},"nurse-112-2-psychiatric-community-015","精神科急性病房為維持治療性的硬體環境，須符合下列那項原則？",15,112,"2026-09-04",1788510704266]