[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-107-2-psychiatric-community-024":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-024","nurse-107-2-psychiatric-community-024",107,2,24,"承上題，武先生渴望有女朋友，某日武先生向護理師說：「護理師您很漂亮，妳有沒有男朋友，我可以當您的男朋友」，護理師之處置下列何者最適當？",{"A":14,"B":15,"C":16,"D":17},"「謝謝你的讚美」","「謝謝，我有男朋友了」","說明二人為護病關係","不予理會","C",null,[],"本題考點是躁症病人對護理師表達愛慕時的專業界限維護。躁症病人常有失控的社交親暱與衝動示愛，護理師的回應須清楚而不帶懲罰地重申關係性質，故最適當者為說明二人為護病關係、溫和地劃定專業界限，選 C。A 只說謝謝讚美，等於默許並模糊界限。B 以「我有男朋友了」回應，把界限建立在個人私事上，暗示若無男友即有可能，同樣模糊專業界限且涉及自我揭露不當。D 不予理會既不尊重病人、也未澄清關係，可能被解讀為冷漠或引發挫折，皆不如直接澄清護病關係適當。","專業界限（professional boundary）維護的原則：以病人為中心、清楚一致、不含羞辱。面對愛慕或試探，最治療性的回應是「肯定其情感需求的同時，明確界定這是治療性的護病關係」，既不拒斥病人為人、也不縱容界限鬆動。要避免以個人私事（有無伴侶）作為擋箭牌——那把界限交給了偶然，也涉及不必要的自我揭露。躁症的去抑制（disinhibition）使此類情境常見，護理師的一致設限本身即是治療。相關概念：治療性界限、自我揭露的適度性、移情處理。",[24,27,29,31],{"term":25,"count":26},"專業界限維護",1,{"term":28,"count":26},"護病關係澄清",{"term":30,"count":26},"躁症去抑制",{"term":32,"count":26},"自我揭露適度性",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-107-2-psychiatric-community-025","住院治療中，護理師進行護理評估後，下列何者是最首要之護理目標？",25,{"webId":39,"stem":40,"number":41,"year":42,"session":10},"nurse-108-2-psychiatric-community-041","欲了解社區中罕見疾病的危險因子，下列何種流行病學方法最適合？",41,108,{"webId":44,"stem":45,"number":46,"year":47,"session":26},"nurse-109-1-psychiatric-community-055","根據 Anderson 和 McFarlane（2008）以社區為夥伴的健康評估模式，了解居民與社區中正式與非正式領導人物的互動情形是屬於那一個次系統？",55,109,{"webId":49,"stem":50,"number":51,"year":52,"session":10},"nurse-110-2-psychiatric-community-013","初次入住精神科急性病房的李先生，擔心醫院伙食被人下毒，有被害妄想不願意用餐，下列何者護理措施最適當？",13,110,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-111-2-psychiatric-community-057","社區護理師於社區關懷據點推動健康飲食計畫，記錄每次活動參與人數，是屬於下列何者護理指導的評價？",57,111,{"webId":59,"stem":60,"number":61,"year":62,"session":63},"nurse-112-3-psychiatric-community-011","病人主要服用的精神科藥物為 clozapine（Clozaril ® ），下列敘述何者正確？",11,112,3,"2026-09-04",1788510726710]