[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-107-2-psychiatric-community-019":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"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-019","nurse-107-2-psychiatric-community-019",107,2,19,"王同學，20 歲，上課時突然站起毆打鄰座同學，表示同學說他壞話，但同學否認，於是班導師將其轉介到心輔室，一星期後又出現攻擊室友的情形，造成室友受傷而報警處理，因王同學當時情緒非常激動，警察將之制伏後送至急診處理，經家屬同意轉至精神科病房接受治療，王同學頻頻詢問這是何處，環伺四周，神情嚴肅，警戒心高，對問話回應簡短，下列護理措施那項最適當？",{"A":14,"B":15,"C":16,"D":17},"因病人對環境感陌生，建議病人是否願意進保護室，以緩解緊張情緒","護理師主動向病人介紹自己，並協助其環境介紹","引導病人到大廳活動以減少對陌生環境的焦慮感","為了避免刺激病人想出院的慾望，在入院初期儘量安排其活動，避免討論其需求","B",null,[],"本題考點是攻擊性病人初入院、處於高警戒與陌生焦慮時的治療性關係建立。個案頻問身處何處、環伺四周、警戒心高、回應簡短，顯示焦慮與不信任升高，護理首要在降低威脅、建立信任，故護理師主動介紹自己並協助環境介紹，給予可預期感與安全感，選 B。A 建議進保護室在無立即失控時屬過度限制、易被視為懲罰而升高敵意。C 引導到大廳活動，人多刺激強，反增焦慮。D 刻意避免討論需求、密集安排活動以壓抑出院慾望，忽略病人感受且非治療性，皆不適當。","面對高警戒或潛在暴力病人，關係建立原則：可預測、低刺激、尊重界限。自我介紹與定向（告知這是哪裡、發生什麼、接下來會如何）能降低不確定感，是化解敵意的第一步。環境上宜安靜、保留適當人際距離、避免正面逼近與突然肢體接近。保護室（seclusion）與約束屬對「立即無法控制的暴力」的最後手段，不可作為建立關係的起手式。相關概念：治療性溝通、去升級（de-escalation）技巧、暴力風險評估。記憶：先安其心（介紹與定向）＞後限其行（隔離約束）。",[24,27,29,31],{"term":25,"count":26},"治療性關係建立",1,{"term":28,"count":26},"定向與自我介紹",{"term":30,"count":26},"去升級技巧",{"term":32,"count":26},"保護室使用時機",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-107-2-psychiatric-community-020","蔡先生，26 歲，為雙相情緒障礙症病人（昔稱躁症），要求外出抽菸，不被接受時出現攻擊性行為，護理師之處置下列何者不適當？",20,{"webId":39,"stem":40,"number":41,"year":42,"session":10},"nurse-108-2-psychiatric-community-036","有關多元與安全醫療照護環境的敘述，下列何者正確？",36,108,{"webId":44,"stem":45,"number":46,"year":47,"session":26},"nurse-109-1-psychiatric-community-050","某學者找無罹患過敏性鼻炎的學童，居住於高濃度二氧化硫環境的學童視為暴露組，居住在二氧化硫濃度為環境背景值的學童當非暴露組，追蹤 6 年後分析二組學童罹患過敏性鼻炎的相對危險性（relative risk）為 3.0，請問最合適的推論為：",50,109,{"webId":49,"stem":50,"number":51,"year":52,"session":10},"nurse-110-2-psychiatric-community-008","有關抗精神病藥物的敘述，下列何者藥理作用最能歸屬於「第二型及第三型多巴胺特別性接受器阻斷劑（specific D 2 \u002FD 3 antagonist）」？",8,110,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-111-2-psychiatric-community-052","某社區糖尿病盛行率高但運動風氣不佳，社區護理師邀請奧運國手拍攝規律運動的宣導短片，引發社區動力。這是使用下列那一種方法？",52,111,{"webId":59,"stem":60,"number":61,"year":62,"session":63},"nurse-112-3-psychiatric-community-006","世界衛生組織（WHO）近年來重視精神健康領域，建議以「社區」為主，建立「精神健康」的三級預防體系，提供精神疾病復健所需的社會資源，下列常見的社區化照護模式，何者錯誤？",6,112,3,"2026-09-04",1788510726655]