[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-107-2-psychiatric-community-006":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-107-2-精神科與社區衛生護理學-006","nurse-107-2-psychiatric-community-006",107,2,6,"患有憂鬱症的小華：「我不想繼續參加這個活動。」護理師：「活動不好玩嗎？」小華：「雖然有時活動很有趣，但我常覺得融入不了別人的話題。」護理師：「不能融入別人的話題讓你感到不舒服嗎？」上述情境中，護理師使用的治療性溝通技巧為何？",{"A":14,"B":15,"C":16,"D":17},"給予建議（offering advice）","讚許（giving approval）","反映（reflection）","面質（confrontation）","C",null,[],"本題考點在於辨識治療性溝通技巧。反映(reflection)是將病人所表達的內容或情緒,以陳述方式反射回去,引導其進一步覺察與探討感受;護理師把「融入不了話題」重述為「不能融入別人的話題讓你感到不舒服嗎」,正是反映情緒,選 C。A 給予建議是直接提供解決方法。B 讚許是對病人表現給予肯定評價。D 面質是指出病人言行間的矛盾以促其面對,均與此處單純反射感受的技巧不同。","反映與重述(restating)相近,差別在反映聚焦於「情緒」的反射、重述聚焦於「內容」的複述,皆屬非指導性、以病人為中心的技巧,目的是傳達傾聽並促自我探索。相對地,給建議與讚許屬指導性回應,可能阻斷病人自我表達;面質則用於治療關係穩固後處理矛盾。判別關鍵是看護理師是「反射」還是「指引、評價、挑戰」。",[24,27,29,32],{"term":25,"count":26},"治療性溝通",46,{"term":28,"count":10},"以病人為中心",{"term":30,"count":31},"反映(reflection)",1,{"term":33,"count":31},"非指導性技巧",[35,39,44,49,54,59],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-107-2-psychiatric-community-007","下列有關物質使用障礙（substance use disorders）之敘述，何者最適當？",7,{"webId":40,"stem":41,"number":42,"year":43,"session":10},"nurse-108-2-psychiatric-community-023","有關思覺失調症生物的成因，主要為下列何者？",23,108,{"webId":45,"stem":46,"number":47,"year":48,"session":31},"nurse-109-1-psychiatric-community-037","戴先生自精神科病房出院後，原計畫由醫師轉介居家治療，但病人不願接受居家治療。此情境下，戴先生最適合下列那種精神醫療服務？",37,109,{"webId":50,"stem":51,"number":52,"year":53,"session":31},"nurse-110-1-psychiatric-community-075","目前長期照顧十年計畫 2.0 中有關失智症照顧服務，下列敘述何者不適當？",75,110,{"webId":55,"stem":56,"number":57,"year":58,"session":10},"nurse-111-2-psychiatric-community-039","護理人員與精神病人會談時，常用的治療技巧，下列何者正確？①全神貫注地傾聽 ②儘量不要使用「為什麼」的問句 ③運用面質技巧盡速建立護病關係 ④運用澄清的技巧了解病人的想法",39,111,{"webId":60,"stem":61,"number":62,"year":63,"session":10},"nurse-112-2-psychiatric-community-073","有關長期照顧十年計畫 2.0 社區整體照護模式之 C 據點功能，下列何項錯誤？",73,112,"2026-09-04",1788510726534]