[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-108-2-psychiatric-community-001":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":35,"lastmod":62},"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-108-2-精神科與社區衛生護理學-001","nurse-108-2-psychiatric-community-001",108,2,1,"在治療性人際關係建立中，下列敘述何者最適當？",{"A":14,"B":15,"C":16,"D":17},"避免探究護理師自己的感覺，主要焦點仍在處理病人的感覺","為求客觀性，護理師應壓抑自己的情緒，以避免造成情感反轉移","護理師應分析自己的特性及感受如何影響關係的建立","可常利用情感反轉移關係來改變病人行為","C",null,[],"本題考點為治療性人際關係中護理師的自我覺察（self-awareness）。依人際關係理論，護理師須先分析自身特質與感受如何影響關係建立，才能覺察並管理反轉移、真誠地協助病人，故 C 正確。A 錯：不應「避免」探究自己的感覺，覺察自我情緒正是建立治療關係的基礎。B 錯：壓抑情緒無法客觀，反而可能未覺察情感反轉移；正解是覺察而非壓抑。D 錯：情感反轉移是護理師對病人的非理性情緒反應，不應被拿來操控病人行為，故正解為 C。","治療性人際關係的核心工具是「有意識地運用自我（therapeutic use of self）」，前提即自我覺察：認識自己的價值觀、偏見與情緒反應，避免情感反轉移（countertransference）污染關係。相對地，情感轉移（transference）是病人將過去重要他人的情感投射到護理師。記憶法：「先照鏡子（覺察自己），才照顧別人」。Peplau 護病關係四期（互動前、介紹、工作、結束）中，自我覺察貫穿全程，尤以互動前期準備最關鍵。",[24,27,30,33],{"term":25,"count":26},"治療性人際關係",12,{"term":28,"count":29},"自我覺察",7,{"term":31,"count":32},"情感反轉移",3,{"term":34,"count":11},"有意識運用自我",[36,39,44,48,53,58],{"webId":37,"stem":38,"number":10,"year":9,"session":10},"nurse-108-2-psychiatric-community-002","對於心理衛生初段預防工作的敘述，下列何者正確？①高危險群衛生教育 ②強化個人因應能力 ③協助精神病人早日返回社區 ④倡導正當休閒娛樂活動",{"webId":40,"stem":41,"number":42,"year":43,"session":11},"nurse-109-1-psychiatric-community-018","對於急性期發作的躁症病人，首要的護理措施為何？",18,109,{"webId":45,"stem":46,"number":47,"year":43,"session":10},"nurse-109-2-psychiatric-community-032","李小姐因厭食症住進精神科急性病房，身高 158 公分，體重由原 56 公斤，在半年內降至 36 公斤，因在家昏厥而入院，於靜脈注射後已恢復意識，但不願進食，住院第一週首要的護理措施為何？",32,{"webId":49,"stem":50,"number":51,"year":52,"session":10},"nurse-110-2-psychiatric-community-070","有關學校衛生法的敘述，下列何者錯誤？",70,110,{"webId":54,"stem":55,"number":56,"year":57,"session":11},"nurse-112-1-psychiatric-community-034","預防心理健康問題的發生，是屬於精神衛生預防概念的那一級工作？",34,112,{"webId":59,"stem":60,"number":42,"year":61,"session":11},"nurse-113-1-psychiatric-community-018","廖奶奶，84歲，獨居，三個月前經歷結縭60年的老伴過世，面帶愁容、不與人打招呼。廖奶奶向女兒表示自己不想再吃藥了，活著沒有意思。評估廖奶奶的精神健康狀況後，下列何者應為最優先的護理處置？",113,"2026-09-04",1788510707488]