[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-107-1-psychiatric-community-035":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":35,"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-035","nurse-107-1-psychiatric-community-035",107,1,35,"護理師於精神復健病房擔任照護工作，其照顧慢性病患的原則，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"安排復健活動時，避免個案的情感反轉移，需保持與個案較遠的距離","照顧計畫宜針對個案的需要，由護理師主導規劃，較易執行","復健活動的焦點在控制個案的疾病角色，避免服藥不遵從","相信個案具有成長和改變的潛力，關注「希望」是基本要素","D",null,[],"本題考點是照護慢性精神病人的核心信念與原則。依復元(recovery)取向,護理應相信個案具有成長與改變的潛力,並將「希望」視為復健的基本要素,以正向期待帶動個案功能與生活重建,故選 D。A 錯在誤用「情感反轉移」為理由主張與個案保持較遠距離,治療性關係需要適當而非疏離的界線,刻意拉遠反而阻礙信任。B 錯在「由護理師主導規劃照顧計畫較易執行」,復健強調以個案為中心、共同參與,主導權過度集中於護理師會削弱個案自主與動機。C 錯在把復健焦點放在「控制個案的疾病角色、避免服藥不遵從」,這是以控制為導向的思維,復健應著眼於能力與希望而非控制。四選項比較後,僅 D 契合復元導向的希望原則。","復元(recovery)導向的關鍵字:希望、賦能、以人為中心、連結。慢性病人最需要的不是被控制,而是被相信能改變。治療性界線要「適當」而非「疏遠」;照顧計畫要「協同」而非「主導」。記憶口訣:復健三支柱=希望(hope)、能力(能動性)、關係(connection)。可連結:復元模式、治療性關係與界線、以個案為中心照護、優勢觀點。",[24,27,30,33],{"term":25,"count":26},"治療性關係",11,{"term":28,"count":29},"復元導向",3,{"term":31,"count":32},"以個案為中心",2,{"term":34,"count":10},"希望原則",[36,40,44,49,54,59],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-107-1-psychiatric-community-036","陳小姐接受社區復健方案，護理師協助她連結社區相關資源，此時護理師最主要發揮那一項專業角色？",36,{"webId":41,"stem":42,"number":43,"year":9,"session":32},"nurse-107-2-psychiatric-community-052","每 1,000 位育齡婦女平均所生的女嬰數，稱之為：",52,{"webId":45,"stem":46,"number":47,"year":48,"session":32},"nurse-108-2-psychiatric-community-066","有關以賦權概念營造健康支持性環境的敘述，下列何者錯誤？",66,108,{"webId":50,"stem":51,"number":52,"year":53,"session":10},"nurse-110-1-psychiatric-community-024","護理師在精神科急性病房照顧王老先生期間，王老先生常表示她就像是自己的女兒一樣，並以「女兒」稱呼護理師。對此狀況之解釋，下列敘述何者較適當？",24,110,{"webId":55,"stem":56,"number":57,"year":58,"session":10},"nurse-111-1-psychiatric-community-068","依據現行勞工健康保護規則，下列何者不是一般勞工健康檢查的必要項目？",68,111,{"webId":60,"stem":61,"number":62,"year":63,"session":32},"nurse-112-2-psychiatric-community-022","承上題，陳同學及父母擔心疾病又再復發，顯得焦慮不安。下列護理措施，何者最不適切？",22,112,"2026-09-04",1788510704330]