[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-108-2-psychiatric-community-013":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-013","nurse-108-2-psychiatric-community-013",108,2,13,"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？",{"A":14,"B":15,"C":16,"D":17},"「讓我們一起來幫助小賀。」","「小孩的病，通常是大人的問題。」","「來看家庭治療師，可預防精神疾病。」","「做母親幫助孩子，是責任，也是義務。」","A",null,[],"本題考點為治療性溝通與家庭治療的系統觀。依家庭系統理論,兒童的問題常是家庭互動失衡的表徵,家庭治療視全家為一個治療單位,護理師的回應應中性、不指責且建立合作關係,故「讓我們一起來幫助小賀」既邀請母親加入又不歸咎任何人,選 A。B「小孩的病通常是大人的問題」錯在直接把責任推給家長,會激起防衛而破壞治療同盟。C「可預防精神疾病」錯在誇大療效且答非所問,未回應母親的抗拒情緒。D「是責任也是義務」錯在以說教與道德壓力回應,屬指責語氣。判斷關鍵在辨識能降低防衛、促成合作的中性邀請式回應。","家庭治療核心概念:個案的症狀是家庭系統的「代罪羔羊」(identified patient),焦點不在責怪而在改變互動模式。治療性溝通四不:不指責、不說教、不誇大、不貼標籤。面對抗拒家屬先建立同盟(therapeutic alliance),用「我們一起」的合作語言接住情緒。對比:A 是接納合作,BD 是指責說教,C 是空泛保證(false reassurance)。",[24,27,30,33],{"term":25,"count":26},"治療性溝通",46,{"term":28,"count":29},"家庭系統理論",4,{"term":31,"count":32},"治療同盟",3,{"term":34,"count":10},"代罪羔羊",[36,40,46,50,54,58],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-108-2-psychiatric-community-014","失智症病人發生譫妄的症狀，應檢查出身體疾病加以治療，使用藥物時，必須避免下列何項藥物使用，以免使譫妄更嚴重？",14,{"webId":41,"stem":42,"number":43,"year":44,"session":45},"nurse-109-1-psychiatric-community-030","王先生是一位酒癮個案，在照護有關酒精使用障礙症的護理目標中，下列敘述何者正確？",30,109,1,{"webId":47,"stem":48,"number":49,"year":44,"session":10},"nurse-109-2-psychiatric-community-044","欲得知 18～65 歲民眾發生慢性腎臟病的危險因子，下列何種研究方法短時間內可得到結果？",44,{"webId":51,"stem":52,"number":10,"year":53,"session":45},"nurse-111-1-psychiatric-community-002","社區內舉辦新手媽媽講座，教導懷孕的身心變化相關課程，是屬於精神心理衛生工作中的那一級的預防？",111,{"webId":55,"stem":56,"number":26,"year":57,"session":45},"nurse-112-1-psychiatric-community-046","有關流行病學研究方法的敘述，下列何者較不適宜？",112,{"webId":59,"stem":60,"number":43,"year":61,"session":45},"nurse-113-1-psychiatric-community-030","若病人出現發燒、出疹、咳嗽等疑似麻疹症狀，應收集「TOCC」，TOCC包括下列何者？①抽菸史（cessation） ②旅遊史（travel） ③接觸史（contact） ④職業史（occupation） ⑤手術史（operation） ⑥發病時間（time） ⑦群聚史（cluster）",113,"2026-09-04",1788510707583]