[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-108-2-psychiatric-community-040":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"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-040","nurse-108-2-psychiatric-community-040",108,2,40,"住院病人辜太太，長期於反覆的家暴中受盡折磨，辜太太表示夫妻爭吵是難免，不斷要求出院回家，請問在護理師首次接案時，下列輔導技巧何者較適切？①耐心面對辜太太的防禦心，傾聽訴說 ②應明顯立即面質辜太太的防禦心 ③護理師將焦點放在支持與增加資源的聯結 ④覺察辜太太之矛盾與壓力",{"A":14,"B":15,"C":16,"D":17},"①②③","①③④","①②④","②③④","B",null,[],"本題考點為受暴個案首次接案的輔導技巧。依受暴者輔導原則,首次接案應以建立信任關係為主,故①耐心面對防禦心並傾聽訴說、③將焦點放在支持與增加資源連結、④覺察個案的矛盾與壓力,三者皆適切,選 B。②主張應明顯立即面質防禦心錯在首次接案關係尚未建立,立即面質會加深個案防衛與抗拒、破壞信任,面質須待關係穩固後謹慎使用,故不宜。含②的 A、C、D 皆因此錯誤。判斷關鍵在於受暴者常有矛盾與防禦心理,首次接觸應以傾聽、支持、覺察為主,避免過早或強烈的面質。","受暴者常見矛盾:因習得無助、情感依附、經濟依賴而反覆返家。首次接案(engagement 階段)重點在建立治療同盟——傾聽、支持、不批判、覺察其矛盾壓力,連結資源與安全計畫。面質(confrontation)為進階技巧,須在信任穩固後、時機成熟時審慎使用,絕非首次即用。口訣:先傾聽建立信任,面質留到後面。呼應治療性關係「先同盟後改變」的原則。",[24,27,29,31],{"term":25,"count":26},"治療同盟",3,{"term":28,"count":10},"面質時機",{"term":30,"count":10},"習得無助",{"term":32,"count":33},"受暴者輔導",1,[35,39,44,48,53,58],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-108-2-psychiatric-community-041","欲了解社區中罕見疾病的危險因子，下列何種流行病學方法最適合？",41,{"webId":40,"stem":41,"number":42,"year":43,"session":33},"nurse-109-1-psychiatric-community-057","有關學童口腔衛生教學活動的情意目標設定，下列何者正確？",57,109,{"webId":45,"stem":46,"number":47,"year":43,"session":10},"nurse-109-2-psychiatric-community-071","長期暴露於何種物質的工作環境中，最容易導致罹患帕金森氏症候群？",71,{"webId":49,"stem":50,"number":51,"year":52,"session":33},"nurse-111-1-psychiatric-community-029","有關於精神疾病診斷準則手冊（Diagnostic and statistical manual of mental disorders, DSM-5）對於「認知障礙症」診斷準則之敘述，下列何者正確？",29,111,{"webId":54,"stem":55,"number":56,"year":57,"session":33},"nurse-112-1-psychiatric-community-073","有關長期照護需求評估工具之敘述，下列何者較不適宜？",73,112,{"webId":59,"stem":60,"number":61,"year":62,"session":10},"nurse-113-2-psychiatric-community-007","有關家庭治療，下列敘述何者最適切？",7,113,"2026-09-04",1788510707789]