[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-107-2-psychiatric-community-016":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"lastmod":63},"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-107-2-精神科與社區衛生護理學-016","nurse-107-2-psychiatric-community-016",107,2,16,"伍先生，28 歲，診斷為思覺失調症（昔稱精神分裂症），在家排行老么，發病至今已 5 年多，父母為主要照顧者，對個案感到愧疚認為是延誤就醫而造成個案生病，不希望兒子吃藥吃到笨笨的而自行調藥，個案平時在家協助父母管理房屋租賃的事務，最近因為出現自語現象，目前入院一週，個案外觀整齊，沉默，少與他人互動，生活可自理，但每天下午四點會站在大門前等待家人協助洗澡，觀察個案與家人互動融洽，溝通無礙，下列那一項是照顧個案的首要任務？",{"A":14,"B":15,"C":16,"D":17},"了解家屬對於個案發病的感受，並鼓勵家屬讓病人自行沐浴","讚賞家屬對個案的用心，並支持家屬透過照顧活動增進親子間關係之建立","建議家屬增加探視次數以改善個案獨處的不自在","鼓勵個案主動向家屬表達謝意","A",null,[],"本題考點是慢性思覺失調個案復元照護中「促進自我照顧與家庭賦能」的優先性。個案生活可自理，卻每天固定要家人代為協助洗澡，父母又因愧疚而過度代勞、甚至自行調藥，屬過度保護造成的功能退化。護理首要在先了解家屬對發病的感受（處理其愧疚），並鼓勵家屬放手讓病人自行沐浴、恢復既有能力，選 A。B 支持家屬「透過照顧活動」增進關係，反而強化代勞與依賴。C 增加探視、D 表達謝意，皆非針對功能退化與過度保護此核心問題的首要處置。","此題結合家庭動力與復健護理原則：慢性精神病人的功能維持關鍵在「用進廢退」，凡病人能做的就讓他做，避免家屬因愧疚或焦慮而過度代勞（over-protection）導致習得性無助與退化。護理策略是先同理家屬情緒（愧疚是自行調藥與代勞的根源），再以衛教引導家屬調整照顧界限、支持病人自主。相關概念：復元（recovery）取向、賦能（empowerment）、情感表露（expressed emotion, EE）——高情感表露家庭易致復發，過度涉入亦屬高 EE 的一種。處理家屬感受同時也是預防自行調藥（影響服藥順從性）的切入點。",[24,26,29,31],{"term":25,"count":10},"復元取向照護",{"term":27,"count":28},"過度保護與功能退化",1,{"term":30,"count":28},"自我照顧促進",{"term":32,"count":28},"家屬情緒與賦能",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-107-2-psychiatric-community-017","劉小姐，28 歲，因情緒高昂、整日不停的忙碌、意念飛躍、自認具有超能力要別人一切聽她指揮，導致家人與同事的困擾，而三度入院治療，診斷為雙相情緒障礙症（bipolar disorder），劉小姐最可能的護理問題為何？①社交互動障礙 ②自殺企圖 ③睡眠型態紊亂 ④思考過程改變",17,{"webId":39,"stem":40,"number":41,"year":42,"session":10},"nurse-108-2-psychiatric-community-033","安排病人參與社區復健活動，護理師所執行的個案管理措施，下列何者正確？",33,108,{"webId":44,"stem":45,"number":46,"year":47,"session":28},"nurse-109-1-psychiatric-community-047","不同廠牌的流感快篩試劑的品質檢測中，A 廠牌檢測的敏感度為 90%，特異度為 95%；B 廠牌的敏感度為 97%，特異度為 86%。下列敘述何者正確？",47,109,{"webId":49,"stem":50,"number":51,"year":52,"session":10},"nurse-110-2-psychiatric-community-005","護理師問病人：「100 減 7 是多少？」然後連續減了五個 7。這種方式除了可以評估病人的計算能力外，還可以評估下列何種能力？",5,110,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-111-2-psychiatric-community-049","根據資料顯示，出血型登革熱的病例中有 15～50%會死亡。15～50%代表的意義為何？",49,111,{"webId":59,"stem":60,"number":61,"year":62,"session":61},"nurse-112-3-psychiatric-community-003","施先生因症狀不穩而住院治療，他說：「我真的沒病，為什麼把我關起來？」，護理師使用同理心的技巧回應，下列何者最適宜？",3,112,"2026-09-04",1788510726637]