[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-107-2-psychiatric-community-027":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-027","nurse-107-2-psychiatric-community-027",107,2,27,"李太太在住院期間，對事物常有誤解或懷疑，導致憤怒或攻擊行為問題，護理師之處理方式，下列何者較適當？",{"A":14,"B":15,"C":16,"D":17},"在病人面前說話或討論問題時，儘量壓低聲音","對於病人的指控應予指正，避免誤解","凡事詳細說明解釋，引導思考","觀察病人藏東西之處，當她找不到時幫忙找","D",null,[],"本題考點是失智病人被害誤解與藏物妄想（如認定媳婦偷錢）引發攻擊時的處理原則。此類病人常把東西藏起又忘記存放處，繼而懷疑他人偷竊，最適當的做法是平時觀察並記住病人常藏東西的地方，待其找不到、指控他人時協助尋回，以化解衝突並避免對質，選 D。A 在病人面前壓低聲音交談，反易被多疑者解讀為「在說我壞話」而加深被害感。B 直接指正其指控，與妄想正面對質只會激化對立。C 凡事詳細解釋引導思考，超出其認知負荷且無法說服固著的錯誤信念，皆不適當。","失智常見的被害或偷竊妄想，多源於記憶缺損——東西藏了又忘，只好以「被偷」解釋。處理原則：不爭辯、不對質、順勢協助。與妄想爭辯只會強化防衛與敵意；而「知道常藏處、協助找回」既解決現實困擾又避免衝突，屬確認治療精神（承接情緒、不糾正事實）。同時避免在其面前竊竊私語（易觸發被害聯想）。記憶：對失智妄想「不辯、不糾、幫他找」。相關概念：確認治療、避免對質、環境安全與情緒安撫優先於認知糾正。",[24,27,29,31],{"term":25,"count":26},"失智被害\u002F偷竊妄想",1,{"term":28,"count":26},"避免與妄想對質",{"term":30,"count":26},"協助尋回藏物",{"term":32,"count":26},"確認治療精神",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-107-2-psychiatric-community-028","李太太常精神恍惚，注意力不集中，與她溝通之方式，下列何者最適當？",28,{"webId":39,"stem":40,"number":41,"year":42,"session":10},"nurse-108-2-psychiatric-community-044","有關社區資料來源之描述，下列何者錯誤？",44,108,{"webId":44,"stem":45,"number":46,"year":47,"session":26},"nurse-109-1-psychiatric-community-058","依據渥太華健康促進憲章五大行動綱領，傳染病防治法明訂相關主管機關應配合及協助辦理傳染病防治事項，是符合下列何種行動綱領？",58,109,{"webId":49,"stem":50,"number":51,"year":52,"session":10},"nurse-110-2-psychiatric-community-016","林小姐入院診斷為憂鬱症，常向護理師表示自己做錯事害得父母離婚，又因為自己不夠好，所以男友跟她分手。下列何項回應最適當？",16,110,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-111-2-psychiatric-community-060","下列何者最適合用來解釋嚴重特殊傳染性肺炎（COVID-19）的致病模式？",60,111,{"webId":59,"stem":60,"number":61,"year":62,"session":63},"nurse-112-3-psychiatric-community-014","李同學就讀高中三年級，日前媽媽生病過世，李同學因為失落、哀傷住進急性病房，護理師在住院過程提供支持性心理治療（supportive psychotherapy），下列有關支持性心理治療概念的描述，何者錯誤？",14,112,3,"2026-09-04",1788510726750]