[{"data":1,"prerenderedAt":61},["ShallowReactive",2],{"q-nurse-108-2-psychiatric-community-012":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"lastmod":60},"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":10},"nurse-108-2-精神科與社區衛生護理學-012","nurse-108-2-psychiatric-community-012",108,2,12,"林小姐，因患嚴重的強迫症而住院治療，楊護理師經多日的觀察與評估後，擬訂林小姐的護理計畫，並安排每週二次的認知治療，有關認知治療之敘述，下列何項較適切？①認知的再建構 ②安排作業練習 ③僅強調過去經驗 ④建立替代想法",{"A":14,"B":15,"C":16,"D":17},"①②③","①②④","①③④","②③④","B",null,[],"本題考點為認知治療的核心技術。依認知治療理論,情緒困擾源自扭曲的自動化思考,治療重點在①認知的再建構,協助個案辨識並修正不合理信念;強迫症常搭配②暴露不反應法等作業練習,故安排作業練習正確;④建立替代想法則是以合理認知取代強迫性念頭,三者皆屬認知治療,故選 B。③僅強調過去經驗錯在那是精神分析取向的重點,認知治療聚焦於「當下」的想法與行為,不以挖掘過去為主。含③的 A、C、D 皆因此錯誤,可直接刪除。判斷關鍵在於認知治療著眼此時此刻的思考修正,而非潛意識與童年經驗的探索。","認知治療三支柱:辨識自動化思考、認知再建構、行為作業(暴露、行為實驗)。與精神分析的分野在時間軸——認知行為治療重「此時此地」,精神分析重「過去潛意識」。強迫症一線心理治療為暴露不反應法(ERP),屬認知行為治療架構,故作業練習不可或缺。口訣:認知治療=想法(再建構、替代想法)+作業(練習),不挖過去。",[24,26,28,31],{"term":25,"count":10},"認知治療",{"term":27,"count":10},"自動化思考",{"term":29,"count":30},"認知再建構",1,{"term":32,"count":30},"暴露不反應法",[34,38,43,47,51,56],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-108-2-psychiatric-community-013","小賀，國小四年級，因逃家被母親帶來兒童心智科求助，醫師建議安排家庭治療，母親卻激動表示醫師弄錯對象，護理師的回應，下列何者較適切？",13,{"webId":39,"stem":40,"number":41,"year":42,"session":30},"nurse-109-1-psychiatric-community-029","有關物質使用障礙症的敘述，下列何者錯誤？",29,109,{"webId":44,"stem":45,"number":46,"year":42,"session":10},"nurse-109-2-psychiatric-community-043","某城市的生命統計指標顯示，粗出生率為 16‰，遷入率為 24‰，粗死亡率為 4‰，遷出率為 14‰，其社會增加率為何？",43,{"webId":48,"stem":49,"number":30,"year":50,"session":30},"nurse-111-1-psychiatric-community-001","王奶奶，80 歲，因憂鬱症住院。低聲說：「我全身都壞了，兒子不孝順只想要我的財產而已。」護理師說：「妳是擔心自己的身體和財產嗎？」此時護理師所運用的溝通技巧為：",111,{"webId":52,"stem":53,"number":54,"year":55,"session":30},"nurse-112-1-psychiatric-community-045","負責辦理原住民族及離島地區之部落社區健康營造補助計畫規劃及推動事項，為衛生福利部那一單位的業務？",45,112,{"webId":57,"stem":58,"number":41,"year":59,"session":30},"nurse-113-1-psychiatric-community-029","欲探討婦女懷孕期間使用藥物和胎兒畸型的因果關係，下列何種研究方法最合適？",113,"2026-09-04",1788510707569]