[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-108-2-psychiatric-community-027":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-027","nurse-108-2-psychiatric-community-027",108,2,27,"醫院病房的陌生環境，易使個案產生不安的情緒，在此狀況下，改善個案對住院環境不安的措施，下列何者最適切？",{"A":14,"B":15,"C":16,"D":17},"認知治療","行為治療","環境治療","心理治療","C",null,[],"本題考點為治療類別與問題情境的配對。依環境治療的定義,透過安排安全、支持、結構化的治療性環境來影響個案的情緒與行為,題幹的核心問題是「陌生環境引發的不安」,故以改善環境來緩解對住院環境的不安最直接對應,選 C。A 認知治療錯在其針對的是扭曲思考的修正,而本題問題是環境陌生感而非認知偏差。B 行為治療錯在其以增強或消弱來改變特定行為,不針對環境適應。D 心理治療錯在其屬廣義的深層心理探索與人格處理,對眼前的環境不安過於迂迴。判斷關鍵在於「問題出在環境、就用環境治療」的對應邏輯。","環境治療(milieu therapy)概念:整個病房環境(物理布置、人際氛圍、活動安排、規範)皆為治療媒介,強調安全、支持、結構化與病人參與。適用於降低陌生環境的焦慮、促進社會化。對比:認知=改想法、行為=改行為、心理治療=探內在。辨題訣竅:題幹關鍵詞「環境」直接對應環境治療。人性化治療性環境亦要求病人參與決策、自我覺察與尊重。",[24,27,29,32],{"term":25,"count":26},"治療性環境",7,{"term":16,"count":28},6,{"term":30,"count":31},"住院適應",1,{"term":33,"count":31},"焦慮緩解",[35,39,44,48,53,58],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-108-2-psychiatric-community-028","護理師對物質使用障礙症病人的態度是影響會談過程的重要因素，因此在協助病人的過程中，護理師應注意事項為何？①應協助病人了解及接納這是一種疾病，需接受治療才可恢復 ②這類病人不常合併道德與法律問題，但護理師仍需要自我評估對物質使用的態度 ③護理師應保持中立及不批評的態度 ④治療及復健的過程需長期不斷的努力才能成功，治療的第一步是禁止再使用",28,{"webId":40,"stem":41,"number":42,"year":43,"session":31},"nurse-109-1-psychiatric-community-044","欲了解社區中 75 歲以上腦中風死亡率，應調查那些資料？①年中總人口數 ②年中 75 歲以上總人口數 ③全年 75 歲以上死亡人數 ④全年 75 歲以上腦中風死亡人數",44,109,{"webId":45,"stem":46,"number":47,"year":43,"session":10},"nurse-109-2-psychiatric-community-058","有關醫療廢棄物的處理，下列敘述何者正確？",58,{"webId":49,"stem":50,"number":51,"year":52,"session":31},"nurse-111-1-psychiatric-community-016","林先生因為雙相情緒障礙症（Bipolar Disorder）躁症發作住院，主要治療藥物為鋰鹽、carbamazepine （Tegretol ® ）。護理師發現林先生顯得倦怠、無力，緊急抽血鋰鹽濃度為 0.8 mEq\u002FL、Na 為 120 mEq\u002FL。下列何項護理措施最適當？",16,111,{"webId":54,"stem":55,"number":56,"year":57,"session":31},"nurse-112-1-psychiatric-community-060","社區舉辦長者用餐活動，希望參與者自備餐具。是符合 5R 廢棄物處理的何項原則？",60,112,{"webId":59,"stem":60,"number":42,"year":61,"session":31},"nurse-113-1-psychiatric-community-044","某校推動營養午餐計畫，期望減少全校體重過重學生人數，下列何者最適合做為評值計畫成果的指標？",113,"2026-09-04",1788510707697]