[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-109-1-psychiatric-community-009":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":35,"lastmod":65},"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-009","nurse-109-1-psychiatric-community-009",109,1,9,"陳護理師與李先生進行支持性心理治療，每次討論到工作挫折時，李先生總是表示不想討論，護理師再次引導李先生表達，病人就表示要停止會談。李先生呈現的是下列何種行為？",{"A":14,"B":15,"C":16,"D":17},"試探性行為（testing behavior）","阻抗行為（resistance behavior）","潛抑（repression）","昇華行為（sublimation behavior）","B",null,[],"本題考點在於治療性關係中防衛與行為現象的鑑別。病人每逢觸及工作挫折即迴避、經引導後乾脆中止會談,依阻抗(resistance)定義——病人抗拒探討引發焦慮的議題以逃避痛苦,此迴避、拖延、中斷會談正是典型表現,故選B。A試探性行為指病人測試護理師是否可信、界限是否穩固,重點在「測試」而非迴避議題。C潛抑是把痛苦記憶壓入潛意識的防衛機轉,屬內在歷程,非外顯的中止會談行為。D昇華是將衝動轉為社會認可行為的成熟防衛,方向正面,與迴避無關。題幹核心是「迴避痛苦議題而抗拒治療」,唯B阻抗貼切。","阻抗是治療歷程的必然現象,常出現在治療深入、觸及核心衝突時,形式包括沉默、遲到、轉移話題、中止會談。護理師宜以接納、不評價態度處理而非強迫。對比:試探=測界限、潛抑=壓記憶(防衛)、昇華=轉正向(防衛)、阻抗=抗拒治療進程。記憶:一碰痛處就想逃、想停會談,就是阻抗。",[24,27,30,33],{"term":25,"count":26},"治療性關係",11,{"term":28,"count":29},"防衛機轉",8,{"term":31,"count":32},"迴避行為",3,{"term":34,"count":10},"阻抗行為",[36,40,45,50,55,60],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-109-1-psychiatric-community-010","陳護理師接新住院病人，依據治療性溝通原則與新病人進行會談，下列描述何項是陳護理師較適切的表現？",10,{"webId":41,"stem":42,"number":43,"year":9,"session":44},"nurse-109-2-psychiatric-community-026","下列有關社區精神復健的照顧重點敘述，何者最適切？",26,2,{"webId":46,"stem":47,"number":48,"year":49,"session":10},"nurse-110-1-psychiatric-community-040","承上題，經醫護人員規勸，病人仍無法控制行為時，需進行身體約束隔離措施，下列敘述何者正確？ ①身體約束目的是由具體的身體控制，以保護病人不傷害自己及他人 ②執行身體約束過程中，無須告知病人執行目的和時間，只要注意約束過程確保人員安全即可 ③執行身體約束隔離時，每 15 分鐘應探視病人，評估生理狀況與需求 ④疏散現場圍觀者",40,110,{"webId":51,"stem":52,"number":53,"year":54,"session":10},"nurse-111-1-psychiatric-community-078","有關戒菸的護理指導，下列何者正確？",78,111,{"webId":56,"stem":57,"number":58,"year":59,"session":44},"nurse-112-2-psychiatric-community-042","有關社區衛生護理的特性，下列何者最不適當？",42,112,{"webId":61,"stem":62,"number":63,"year":64,"session":32},"nurse-113-3-psychiatric-community-006","有關認知行為治療的特徵，下列敘述何者最適切？",6,113,"2026-09-04",1788510713991]