[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-108-2-psychiatric-community-021":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"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-021","nurse-108-2-psychiatric-community-021",108,2,21,"有關鬱症病人之急性期照護的敘述，下列何者最適當？",{"A":14,"B":15,"C":16,"D":17},"鼓勵發掘自己長處","安排認知行為治療","建立疾病的病識感","安全性評估與支持","D",null,[],"本題考點為鬱症急性期的照護優先順序。依鬱症急性期自殺風險最高的臨床特徵,護理首要是安全性評估與支持,確保病人生命安全並提供情緒支持,故選 D。A 鼓勵發掘長處錯在急性期病人自我價值感低落、認知扭曲嚴重,要求發掘長處易造成挫折,屬恢復期才適用。B 安排認知行為治療錯在急性期病人專注力與動機不足,結構性心理治療多在症狀稍緩後才進行。C 建立疾病病識感錯在病識感建立屬較後期的衛教目標,急性期首重安全而非教育。判斷關鍵在於鬱症急性期以「安全」為最優先,防範自殺重於一切治療性活動。","鬱症分期照護:急性期優先序為安全(自殺防範)>基本生理(進食、睡眠)>情緒支持;認知重建、發掘長處、病識感建立屬穩定\u002F恢復期任務。自殺風險評估貫穿全程,尤須注意「症狀開始改善時」精力恢復但情緒仍低,反為自殺高危期。口訣:急性鬱症先保命,長處與認知留後頭。ABC 三項皆對但時機錯置,D 的安全評估才是急性期第一優先。",[24,27,29,32],{"term":25,"count":26},"自殺風險評估",7,{"term":28,"count":10},"分期照護",{"term":30,"count":31},"鬱症急性期",1,{"term":33,"count":31},"安全性評估",[35,39,44,48,53,58],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-108-2-psychiatric-community-022","與高齡老人一同翻閱家族相簿，回憶美好時光與成功經驗，提升其自尊與自信的治療為何？",22,{"webId":40,"stem":41,"number":42,"year":43,"session":31},"nurse-109-1-psychiatric-community-038","人際關係理論探討思覺失調症（Schizophrenia）的病因，其指出思覺失調症病人早年大部分經歷過痛苦的親子關係，此為下列那位學者的觀點？",38,109,{"webId":45,"stem":46,"number":47,"year":43,"session":10},"nurse-109-2-psychiatric-community-052","依據 Friedman 家庭內在結構的基本要素，下列何者正確？①發展結構 ②功能結構 ③溝通過程 ④價值系統",52,{"webId":49,"stem":50,"number":51,"year":52,"session":31},"nurse-111-1-psychiatric-community-010","下列有關精神疾病臨床症狀的敘述，何者正確？",10,111,{"webId":54,"stem":55,"number":56,"year":57,"session":31},"nurse-112-1-psychiatric-community-054","社區護理師推動「社區營養推廣中心」的服務後，發現參與者健康飲食習慣的比率增加，這是屬於下列何種評價？",54,112,{"webId":59,"stem":60,"number":42,"year":61,"session":31},"nurse-113-1-psychiatric-community-038","有關醫療廢棄物的處理原則，下列何者最適當？",113,"2026-09-04",1788510707634]