[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-109-1-psychiatric-community-004":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-109-1-精神科與社區衛生護理學-004","nurse-109-1-psychiatric-community-004",109,1,4,"護理師在精神科病房帶領團體治療，鼓勵病人與他人分享生病感受，並在團體中表示感謝其他病人對他的包容、接納與信任，此活動運用下列何項精神護理概念模式？",{"A":14,"B":15,"C":16,"D":17},"行為模式","人際關係模式","心理分析模式","存在主義模式","B",null,[],"本題考點在於區辨精神護理的四大概念模式。題幹強調「與他人分享感受、感謝他人的包容接納與信任」,焦點在人與人之間的互動與關係建立,依Peplau人際關係模式(interpersonal model)主張心理健康源於良好人際互動、護病關係本身即治療工具,故選B。A行為模式著重刺激—反應與制約學習,強調可觀察行為的塑造,與情感分享無關。C心理分析模式源自Freud,重視潛意識衝突與早年經驗,非團體互動。D存在主義模式聚焦生命意義、自由與責任的探尋,亦非人際連結。題幹核心是「關係」二字,唯B契合。","Peplau被譽為精神護理之母,其人際關係理論將護病關係分為初始期、認同期、開拓期、解決期。團體治療中的分享、接納、信任正是Yalom所稱的「凝聚力」與「普同感」療效因子,本質皆屬人際模式。對比記憶:行為看外顯行為、心理分析挖潛意識、人際重關係、存在談意義。看到「分享\u002F信任\u002F關係」直接連結人際關係模式。",[24,27,30,32],{"term":25,"count":26},"護病治療性關係",3,{"term":28,"count":29},"團體治療療效因子",2,{"term":31,"count":29},"精神護理概念模式",{"term":33,"count":10},"Peplau人際關係模式",[35,39,43,48,53,58],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-109-1-psychiatric-community-005","林先生，診斷思覺失調症，表情緊張地對護理師說：「我都沒跟別人說話，但是別人都可以知道我在想什麼，知道我所有的秘密。」林先生的描述最符合下列那個症狀？",5,{"webId":40,"stem":41,"number":42,"year":9,"session":29},"nurse-109-2-psychiatric-community-021","蔡小姐診斷為思覺失調症，第一次發病，護理師觀察到個案眼神閃爍，站在病室前，神情緊張，個案告訴護理師一直聽到有人在罵自己醜女人，我真的好痛苦，下列護理師的回應何者最適切？",21,{"webId":44,"stem":45,"number":46,"year":47,"session":10},"nurse-110-1-psychiatric-community-035","王女士 45 歲，獨居，近半年來自我照顧能力差、常常自言自語，經常倒垃圾到鄰居家，鄰居苦不堪言，而多次報警，仍無法有效處理，有關社區心理衛生護理師之處置，下列何者較適當？",35,110,{"webId":49,"stem":50,"number":51,"year":52,"session":10},"nurse-111-1-psychiatric-community-073","有關衰弱評估量表 SOF（Study of Osteoporotic Fractures frailty index）的敘述，下列何者錯誤？",73,111,{"webId":54,"stem":55,"number":56,"year":57,"session":29},"nurse-112-2-psychiatric-community-037","有關急性精神科病房暴力的敘述，下列何者最適切？",37,112,{"webId":59,"stem":60,"number":10,"year":61,"session":26},"nurse-113-3-psychiatric-community-001","有關治療性關係之特性，下列敘述何者正確？",113,"2026-09-04",1788510713946]