[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-108-2-psychiatric-community-009":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":36,"lastmod":63},"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-009","nurse-108-2-psychiatric-community-009",108,2,9,"馬先生，患思覺失調症約 2 年，近日與人爭吵，擔心會被殺害而不敢睡覺，整天疑神疑鬼，且對此想法堅信不移，無法接受別人的建議，有關馬先生防衛機轉之敘述，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"內射作用（introjection）","外射作用（projection）","否定作用（denial）","幻想作用（fantasy）","B",null,[],"本題考點為思覺失調症被害妄想背後的防衛機轉辨識。依心理動力，病人將自身無法接受的敵意或衝動歸咎於外界，堅信他人要殺害自己，屬「外射（投射）作用（projection）」，故 B 正確。A 內射作用是將外在對象的特質或情感納入自我（如憂鬱者自責）。C 否定作用是拒絕承認令人痛苦的現實。D 幻想作用是以想像滿足現實中受挫的需求。被害妄想的核心即把內在攻擊性投射於外，故正解為 B。","投射（projection）是妄想症與偏執狀態的核心防衛：個體把自己無法接受的慾望、憤怒或恐懼歸因於他人，於是「我恨他」變成「他要害我」。對比記憶：投射＝往外丟、內射＝往內吞、否定＝不承認、幻想＝白日夢。思覺失調症的被害妄想（persecutory delusion）常與投射並存。護理上避免正面辯駁妄想內容（會強化對立），改以接納感受、建立信任並協助現實感導向為原則。",[24,27,30,33],{"term":25,"count":26},"思覺失調症",17,{"term":28,"count":29},"被害妄想",10,{"term":31,"count":32},"防衛機轉",8,{"term":34,"count":35},"投射作用 projection",1,[37,40,45,49,54,59],{"webId":38,"stem":39,"number":29,"year":9,"session":10},"nurse-108-2-psychiatric-community-010","王先生，國立大學法律系畢業，住院第三天，診斷為雙相情緒障礙症，正處於躁期，擔心自己吃藥後可能產生副作用，要求借閱藥品手冊以了解自己所服藥物的合理劑量，護理師查閱病歷，確認病人的藥物劑量在合理的成人劑量範圍，護理師的回應下列何者最適合？",{"webId":41,"stem":42,"number":43,"year":44,"session":35},"nurse-109-1-psychiatric-community-026","李同學診斷為邊緣型人格障礙症（Borderline Personality Disorder），手臂上很多的割痕，對於被媽媽送來住院非常的憤怒、對媽媽謾罵，下列何項是護理師目前最為適切的處置？",26,109,{"webId":46,"stem":47,"number":48,"year":44,"session":10},"nurse-109-2-psychiatric-community-040","張先生 48 歲，參與精神科日間留院復健活動，案妹轉述個案不常洗澡有異味，房間地上堆滿雜物，案妹擔心個案相關照顧問題。下列何項為張先生最需要的照護？",40,{"webId":50,"stem":51,"number":52,"year":53,"session":10},"nurse-110-2-psychiatric-community-078","糖尿病病人經常出現血管與神經病變，需定期進行併發症篩檢，下列何者不屬於糖尿病併發症篩檢項目？",78,110,{"webId":55,"stem":56,"number":57,"year":58,"session":35},"nurse-112-1-psychiatric-community-042","根據長期照顧服務法，長期照顧的定義是指身心失能持續已達或預期達多久以上者，依其個人或其照顧者的需要，所提供的生活支持、協助、社會參與、照顧及相關的醫護服務？",42,112,{"webId":60,"stem":61,"number":43,"year":62,"session":35},"nurse-113-1-psychiatric-community-026","有關基層醫療保健之社區與醫療服務原則，下列何者最不適當？",113,"2026-09-04",1788510707553]