[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-107-2-psychiatric-community-001":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-107-2-精神科與社區衛生護理學-001","nurse-107-2-psychiatric-community-001",107,2,1,"思覺失調症（昔稱精神分裂症）病人以被害妄想顯示對他人的敵意，最可能是反應下列何種心理防衛機轉？",{"A":14,"B":15,"C":16,"D":17},"扺消","隔離","壓抑","投射","D",null,[],"本題考點在於辨識被害妄想背後的心理防衛機轉。投射(projection)是將自己內在不被接受的衝動或敵意,歸咎、轉嫁到他人身上;思覺失調症病人把自身敵意投射為「別人要害我」,形成被害妄想,故選 D。A 抵消是以象徵性行為抵銷先前的行為或念頭。B 隔離是將事件與其伴隨的情緒切割開來。C 壓抑是將不被接受的念頭潛抑至潛意識,均無法解釋「將敵意歸咎他人」這個核心特徵。","投射的公式是「我恨他 → 我感覺他恨我」,把自己的衝動外化以減輕內在焦慮,是妄想症與被害妄想常見的防衛底層機轉。可與相近機轉對比:轉移是把情緒發洩到替代對象;反向作用是表現出相反行為;合理化是找藉口。抓住「歸咎於外、由內而外投射」的方向感,即能穩定辨識。",[24,27,30,33],{"term":25,"count":26},"思覺失調症",17,{"term":28,"count":29},"被害妄想",10,{"term":31,"count":32},"心理防衛機轉",9,{"term":34,"count":11},"投射作用(projection)",[36,39,44,49,54,59],{"webId":37,"stem":38,"number":10,"year":9,"session":10},"nurse-107-2-psychiatric-community-002","個體在遭受心理壓力及衝突時，較難以語言或情緒表達，故轉而以身體症狀來呈現，如運動或感覺功能失常，此個體所使用的防衛機轉，較可能為下列何者？",{"webId":40,"stem":41,"number":42,"year":43,"session":10},"nurse-108-2-psychiatric-community-018","王先生為躁症病人，情緒高昂、易怒，容易受病友影響而生氣，下列對於王先生活動的安排，何者較適切？",18,108,{"webId":45,"stem":46,"number":47,"year":48,"session":11},"nurse-109-1-psychiatric-community-032","在幼稚園的楊小弟，被老師反應上課時容易分心、注意力不集中、無法乖乖坐好、話多、容易干擾同學聽講，丟三落四、多半無法完成老師的指令，家長表示在家裡也有類似的行為，護理師覺得楊小弟最可能出現的問題是？",32,109,{"webId":50,"stem":51,"number":52,"year":53,"session":11},"nurse-110-1-psychiatric-community-070","為了解勞工使用化學品的危害性，職業衛生護理師應從何處取得相關資訊？",70,110,{"webId":55,"stem":56,"number":57,"year":58,"session":10},"nurse-111-2-psychiatric-community-034","有關社區心理衛生的敘述，下列何者最適當？",34,111,{"webId":60,"stem":61,"number":62,"year":63,"session":10},"nurse-112-2-psychiatric-community-068","根據全民健康保險，有關婦女乳癌篩檢給付規定的敘述，下列何者正確？",68,112,"2026-09-04",1788510726480]