[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-108-2-psychiatric-community-020":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":36,"lastmod":65},"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-020","nurse-108-2-psychiatric-community-020",108,2,20,"照護雙相情緒障礙症病人，因病人情緒高昂與挑釁，護理師出現生氣厭煩情緒，此時護理師該如何處理自己的情感反轉移？",{"A":14,"B":15,"C":16,"D":17},"情感反轉移是不好的現象，要壓抑","與病人討論生氣情緒","檢視自己的感覺與想法","時間會消退情感反轉移，不必理會","C",null,[],"本題考點為情感反轉移的處理。依治療性關係理論,反轉移是護理師將自身未解決的情感投射到病人身上的反應,健康的處理方式是自我覺察——檢視自己的感覺與想法,理解情緒來源以維持專業界線,故選 C。A 主張反轉移不好要壓抑,錯在壓抑非處理之道,反轉移本身是中性訊息,關鍵在覺察而非否認。B 與病人討論生氣情緒,錯在將護理師個人情緒議題帶入治療關係會混淆界線、造成病人負擔。D 認為時間會自然消退不必理會,錯在忽視反轉移可能持續干擾照護品質與治療關係。判斷關鍵在於反轉移的正解是「自我覺察與省思」,而非壓抑、宣洩或放任。","轉移(transference)是病人把過去重要他人的情感投向治療者;反轉移(countertransference)則相反,是治療者對病人的情緒反應。處理原則:覺察→省思→督導討論(supervision),而非壓抑或對病人宣洩。反轉移若被覺察,可成為理解病人的線索;若未覺察,則損害治療關係。口訣:反轉移不壓不洩,先照鏡子看自己。督導與自我省察是專業界線的守門機制。",[24,27,30,33],{"term":25,"count":26},"治療性關係",11,{"term":28,"count":29},"自我覺察",7,{"term":31,"count":32},"專業界線",5,{"term":34,"count":35},"情感反轉移",3,[37,41,47,51,56,61],{"webId":38,"stem":39,"number":40,"year":9,"session":10},"nurse-108-2-psychiatric-community-021","有關鬱症病人之急性期照護的敘述，下列何者最適當？",21,{"webId":42,"stem":43,"number":44,"year":45,"session":46},"nurse-109-1-psychiatric-community-037","戴先生自精神科病房出院後，原計畫由醫師轉介居家治療，但病人不願接受居家治療。此情境下，戴先生最適合下列那種精神醫療服務？",37,109,1,{"webId":48,"stem":49,"number":50,"year":45,"session":10},"nurse-109-2-psychiatric-community-051","護理師對某社區進行社區健康評估後，發現高血壓盛行率、腦中風死亡率、登革熱發生率、心臟病盛行率皆高於其他社區，依據弗里門（Freeman）決定護理優先次序的預防效果，下列何項問題應優先處理？",51,{"webId":52,"stem":53,"number":54,"year":55,"session":46},"nurse-111-1-psychiatric-community-009","協助危機狀態生還者之個別性處置（individual approach），下列何者最適當？",9,111,{"webId":57,"stem":58,"number":59,"year":60,"session":46},"nurse-112-1-psychiatric-community-053","有關社區健康營造的主要精神，下列何者較不適宜？",53,112,{"webId":62,"stem":63,"number":44,"year":64,"session":46},"nurse-113-1-psychiatric-community-037","有關細懸浮微粒（PM2.5）的敘述，下列何者最適當？",113,"2026-09-04",1788510707630]