[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-107-2-psychiatric-community-020":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-020","nurse-107-2-psychiatric-community-020",107,2,20,"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？",{"A":14,"B":15,"C":16,"D":17},"立即與病人討論其攻擊行為","鼓勵病人用言語表達其憤怒","以堅定口氣指示其適當行為","若病人無法控制其衝動，可帶入保護室","A",null,[],"本題考點是攻擊行為當下（急性激動期）不適當的護理處置。個案因需求未被滿足而正出現攻擊性行為，此時病人衝動高漲、理性思考受限，「立即與病人討論其攻擊行為」屬認知層次介入，時機錯誤、無法被吸收，反可能刺激其情緒，故 A 為不適當、即為答案。B 鼓勵以言語表達憤怒、C 以堅定口氣指示適當行為（設限），皆為當下正確的去升級手法；D 若確實無法控制衝動，帶入保護室是合宜的最後保護措施。討論與檢討攻擊行為應留待情緒平復後再進行。","攻擊行為處理分階段：激動當下重「安全與去升級」——設限（清楚、堅定、非威脅地指出可接受行為）、鼓勵語言宣洩取代肢體、必要時隔離約束以保護安全；情緒平復後才進入「事後檢討」——與病人一起回顧觸發點、辨識前驅徵象、發展替代因應。把認知性討論放在激動當下（如 A），如同對正在燃燒的火講道理，時機錯置。記憶口訣：亂時先滅火（去升級、設限、保安全），靜後再談心（檢討與學習）。相關概念：暴力循環的前驅期／爆發期／恢復期。",[24,27,29,31],{"term":25,"count":26},"攻擊行為分期處理",1,{"term":28,"count":26},"去升級與設限",{"term":30,"count":26},"事後檢討時機",{"term":32,"count":26},"保護室最後手段",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-107-2-psychiatric-community-021","蔡女士，60 歲，罹患思覺失調症（昔稱精神分裂症）已 30 年，自我照顧能力明顯退化，日間常因來不及如廁而尿濕褲子，下列護理措施何者最適當？",21,{"webId":39,"stem":40,"number":41,"year":42,"session":10},"nurse-108-2-psychiatric-community-037","有關個人因應與壓力的理論，下列敘述何者正確？①下視丘－腦下垂體－腎上腺軸（HPA）的改變是個人面臨壓力源時主要的調節系統 ②壓力與中樞神經系統前額葉及邊緣系統的改變有關 ③壓力反應與個體之腦幹－運動及感覺皮質區有關 ④災難經驗對個人造成立即心理改變，但不影響個體知覺與性格特性",37,108,{"webId":44,"stem":45,"number":46,"year":47,"session":26},"nurse-109-1-psychiatric-community-051","有關依賴人口指數（dependent index）的敘述，下列何者錯誤？",51,109,{"webId":49,"stem":50,"number":51,"year":52,"session":10},"nurse-110-2-psychiatric-community-009","有關錐體外徑症候群之藥物副作用（extrapyramidal symptoms, EPS）的敘述，下列何者正確？",9,110,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-111-2-psychiatric-community-053","有關評估社區民眾需求與互動方式的資料，下列何者較不適當？",53,111,{"webId":59,"stem":60,"number":61,"year":62,"session":63},"nurse-112-3-psychiatric-community-007","張先生因拿油漆潑鄰居，揚言同歸於盡，而被強制送醫，診斷為思覺失調症，在病房大聲說：「那個鄰居很可惡，故意把車停在我的車道上讓我出不去，我潑油漆只是給他們警告，又不會傷害他們，卻被抓來住院，沒天理。」護理師運用同理心的技巧回應，下列何項最適宜？",7,112,3,"2026-09-04",1788510726666]