[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-107-2-psychiatric-community-022":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-022","nurse-107-2-psychiatric-community-022",107,2,22,"雙相情緒障礙症病人的誇大言辭，常使用何種心理防衛機轉掩飾內心的無助與自卑？",{"A":14,"B":15,"C":16,"D":17},"內射作用（introjection）","反向作用（reaction formation）","外射作用（projection）","隔離作用（isolation）","B",null,[],"本題考點是雙相障礙病人誇大言行背後的心理防衛機轉。病人以自我膨脹、誇大來掩飾內心真正的無助與自卑，這種「表現出與內在真實感受相反」的機轉，稱為反向作用（reaction formation），選 B。A 內射作用是把外在對象的特質、價值納為己有（如認同攻擊者）。C 外射作用（投射）是把自己不能接受的想法或情緒歸咎於他人（如將敵意投射為「別人要害我」）。D 隔離作用是把事件與其伴隨的情緒切開、只談事實不帶情感，皆與「以相反表現掩飾」的題意不符。","反向作用的定義是「以相反的態度或行為，遮蓋內心無法接受的衝動或感受」，記憶法：外在越是誇張的 A，內在往往藏著相反的 B——躁症的浮誇自大常是對抗底層低自尊與無助的防衛。防衛機轉對比：投射（外射）＝把自己的歸給別人；內射＝把別人的納為己有；隔離＝抽離情緒只留事實；否認＝完全不承認事實存在；昇華＝把衝動導向社會可接受的出口。臨床理解躁症時，可將誇大視為對憂鬱與無價值感的防衛面向，有助於同理與介入。",[24,27,30,33],{"term":25,"count":26},"心理防衛機轉",9,{"term":28,"count":29},"反向作用",3,{"term":31,"count":32},"躁症誇大與低自尊",1,{"term":34,"count":32},"投射與內射對比",[36,40,45,50,55,60],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-107-2-psychiatric-community-023","武先生，30 歲，診斷為第一型雙相情緒障礙症（昔稱第一型雙極性疾患），目前為躁症發作。護理師給藥時，武先生對護理師說：「我討厭吃藥，吃藥有副作用，昨晚病友打鼾很大聲，很吵，我好想抽菸，抽菸很快樂，醫師何時會來看我，上午或下午…」，武先生的症狀最符合下列何者？",23,{"webId":41,"stem":42,"number":43,"year":44,"session":10},"nurse-108-2-psychiatric-community-039","針對家庭暴力，護理師的治療性措施，下列敘述何者正確？",39,108,{"webId":46,"stem":47,"number":48,"year":49,"session":32},"nurse-109-1-psychiatric-community-053","護理師執行社區均衡飲食計畫，下列何者為行為目標的效果評價？",53,109,{"webId":51,"stem":52,"number":53,"year":54,"session":10},"nurse-110-2-psychiatric-community-011","護理人員應用行為治療原則於急性病房住院精神疾病病人，下列何者最適當？",11,110,{"webId":56,"stem":57,"number":58,"year":59,"session":10},"nurse-111-2-psychiatric-community-055","護理師進行社區評估，運用政府或相關機構的統計資料，是屬於何種評估方法？",55,111,{"webId":61,"stem":62,"number":26,"year":63,"session":29},"nurse-112-3-psychiatric-community-009","有關電氣痙攣療法（ECT）的敘述，下列何者正確？",112,"2026-09-04",1788510726688]