[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-109-1-psychiatric-community-011":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"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-011","nurse-109-1-psychiatric-community-011",109,1,11,"在精神病房有關環境治療之敘述，下列何者最適切？",{"A":14,"B":15,"C":16,"D":17},"就病房環境治療而言，「使參與（involvement）」是緊急處置的最重要功能","急性病房基於安全考量，所有病人著病人服，且不建議提供電話卡或鏡子","病房活動設計，儘量增加團體統一的活動，降低個別差異","需要提供自治自主的機會，且住院中便要連結家庭與社區資源","D",null,[],"本題考點在於環境治療(milieu therapy)的原則。依環境治療理念,精神病房應營造治療性社會情境,提供自治自主機會,並在住院期間即連結家庭與社區資源以利復元返家,故選D。A錯在「使參與是緊急處置最重要功能」,參與是促進病人融入治療環境的功能,非緊急處置核心。B錯在「一律著病人服、不提供電話卡或鏡子」過度限制,環境治療重視正常化與尊重,非全面剝奪日常物品。C錯在「增加統一活動、降低個別差異」,環境治療應尊重個別性、依能力設計活動,而非齊頭抹除差異。唯D契合自主與資源連結。","環境治療五大功能:包容(containment)、支持(support)、結構(structure)、參與(involvement)、確認(validation)。核心精神是把病房打造成安全、正常化、可學習社交技巧的治療社群,並及早銜接家庭與社區(連續性照護)。記憶:環境治療=賦權自主+正常化+個別化+資源連結,凡選項走向過度管控、剝奪、齊一化多為錯。",[24,27,30,32],{"term":25,"count":26},"連續性照護",9,{"term":28,"count":29},"環境治療",6,{"term":31,"count":10},"治療性社區",{"term":33,"count":10},"自治自主",[35,39,44,49,54,59],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-109-1-psychiatric-community-012","有關行為治療的「逐步養成法（shaping）」之敘述，下列何者最適切？",12,{"webId":40,"stem":41,"number":42,"year":9,"session":43},"nurse-109-2-psychiatric-community-028","王同學診斷妄想症，某科考試不及格，出現易怒，無法與人互動，最近因為症狀嚴重故入院治療，住院第 4 天，會談時表示同學們忌妒他成績比較好，都會中傷他，老師也受到其他同學的挑撥，對他特別嚴格，會談中出現哭泣現象，此時護理師的措施何者最適切？",28,2,{"webId":45,"stem":46,"number":47,"year":48,"session":10},"nurse-110-1-psychiatric-community-042","護理師發現社區有行動不便的獨居老人，無法自行就醫，於是她向轄區里長爭取安排社區志工陪病就醫，下列何者較能描述護理師的角色功能？",42,110,{"webId":50,"stem":51,"number":52,"year":53,"session":10},"nurse-111-1-psychiatric-community-080","整合性篩檢是現階段政府推動重要的社區中老年防治計畫，下列何者正確？①肺癌、肝癌、乳癌、口腔癌、子宮頸癌是五種癌症的項目 ②早期防治能見效是因慢性病的病因較為單純 ③糖尿病、高血壓與高血脂是慢性病防治重點 ④此項業務隸屬在衛生福利部國民健康署",80,111,{"webId":55,"stem":56,"number":57,"year":58,"session":43},"nurse-112-2-psychiatric-community-044","王太太 53 歲，從未接受過全民健康保險篩檢服務，目前無抽菸，檳榔已戒。社區衛生護理師可建議其接受那些篩檢項目？①乳房 X 光攝影 ②子宮頸抹片 ③糞便潛血 ④口腔黏膜",44,112,{"webId":60,"stem":61,"number":62,"year":63,"session":64},"nurse-113-3-psychiatric-community-008","高小姐罹患「雙相情緒障礙症」，因情緒高昂，整天在家裡不停翻箱倒櫃忙進忙出，表示自己是神力女超人，不需進食，晚上不睡覺一直打電話給警局要一起去拯救世界，故家人帶她入院治療，下列高小姐護理問題何者適切？①營養攝取不足 ②現存性自我傷害 ③睡眠型態紊亂 ④恐懼",8,113,3,"2026-09-04",1788510714017]