[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-108-2-psychiatric-community-024":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":35,"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-024","nurse-108-2-psychiatric-community-024",108,2,24,"呂小姐，42 歲，入院 4 週，預計下週出院，今天與護理師會談時提到自己的幻聽已改善很多，雖然仍會聽到一些聲音，不過內容已沒以前清楚，下列護理措施何者最適切？",{"A":14,"B":15,"C":16,"D":17},"向病人澄清「這裡只有我跟你，而且我沒有聽到其他聲音」","為了確保病人出院後幻聽情形可以改善，隨時詢問病人幻聽的情況及內容","與病人討論處理幻聽的方法","我了解幻聽聲音讓你很不舒服，但那不是真實的","C",null,[],"本題考點為幻聽病人的治療性溝通。依精神科護理原則,面對幻聽個案不否認也不強化其幻覺內容,而應協助個案發展因應策略,故與病人討論處理幻聽的方法可增進其自我管理能力,選 C。A 澄清「這裡只有我跟你」錯在雖表達現實感,但語氣近似否定病人的主觀經驗,易破壞信任,且未教導因應。B 隨時詢問幻聽情況及內容錯在過度聚焦幻聽反而強化其存在感、增加病人對幻聽的關注。D 說「那不是真實的」錯在直接否定病人的知覺經驗,會讓病人覺得不被理解而抗拒。判斷關鍵在於出院前的重點是賦能病人學會與幻聽共處、發展自我因應策略。","幻覺護理三不一要:不爭辯真假、不強化聚焦、不否定經驗,「要」協助因應。技巧:表達理解病人主觀感受(「我了解那些聲音困擾你」)但不認同內容真實性(present reality),進而教導轉移注意、聽音樂、與人交談、症狀自我監測等因應策略。此個案幻聽改善且將出院,重點在建立長期自我管理能力(C)。口訣:不吵不否認,教他怎麼辦。",[24,27,30,32],{"term":25,"count":26},"治療性溝通",46,{"term":28,"count":29},"幻聽護理",3,{"term":31,"count":29},"因應策略",{"term":33,"count":34},"現實感呈現",1,[36,40,45,49,54,59],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-108-2-psychiatric-community-025","下列何者是貝克（Beck）提出憂鬱的認知觀點？①兩極化想法（polarized thinking） ②獨斷推論（arbitrary inference） ③過度類化（over generalization） ④自閉思考（autistic thinking）",25,{"webId":41,"stem":42,"number":43,"year":44,"session":34},"nurse-109-1-psychiatric-community-041","有關衛生所護理師執業範疇之敘述，下列何者錯誤？",41,109,{"webId":46,"stem":47,"number":48,"year":44,"session":10},"nurse-109-2-psychiatric-community-055","有關社區護理師在推動健康促進計畫的角色與功能，下列何者最不適當？",55,{"webId":50,"stem":51,"number":52,"year":53,"session":34},"nurse-111-1-psychiatric-community-013","有關現實治療的描述，下列敘述何者最適當？",13,111,{"webId":55,"stem":56,"number":57,"year":58,"session":34},"nurse-112-1-psychiatric-community-057","根據性別工作平等法和勞動基準法，有關職場母乳哺餵之護理指導，下列何者最不適宜？",57,112,{"webId":60,"stem":61,"number":43,"year":62,"session":34},"nurse-113-1-psychiatric-community-041","承上題，顧太太因身兼數種角色，自覺難以扮演好各個角色，此現象顯示顧太太出現下列何種角色情況？",113,"2026-09-04",1788510707662]