[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-109-1-psychiatric-community-016":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-016","nurse-109-1-psychiatric-community-016",109,1,16,"張先生診斷為妄想症，認為病房內的人都要害他所以拒絕參加任何活動，只願留在自己的房間。下列那一項護理措施最適宜？",{"A":14,"B":15,"C":16,"D":17},"先不理他，讓他感覺到被尊重，只要用監視器確認他平安就好","安排固定的護理師，每日持續陪伴並給予關心","與他訂定行為治療契約，告訴他只要參加活動就可以出院","請其他病友來邀請他，工作人員先不要接觸","B",null,[],"本題考點在於妄想症(被害妄想)病人的護理措施。病人因被害妄想而不信任他人、退縮於房內,依建立信任關係的原則,安排固定護理師每日持續陪伴、給予穩定關心,可逐步降低戒心、建立治療性信任,故選B。A錯,「不理他、只用監視器確認平安」放棄主動建立關係,退縮病人更需人際接觸而非放任。C錯,「參加活動就可出院」以不實承諾誘導,違反誠信且無法兌現,會加重被害感。D錯,「請病友邀請、工作人員不接觸」,治療性關係須由專業人員主動建立,把責任丟給病友並不恰當。唯B以固定人員持續陪伴建立信任,契合妄想病人護理。","被害妄想病人核心困難是「不信任」,護理首要是以一致、可預期、固定的人員建立安全的治療性關係(consistency建立trust)。不與妄想內容爭辯、也不附和,而是聚焦真實感受與需求。記憶:妄想退縮→固定人員、持續陪伴、不爭辯不承諾。凡放任不理、空頭承諾、推給他人者皆錯。",[24,27,30,32],{"term":25,"count":26},"治療性關係",11,{"term":28,"count":29},"被害妄想",10,{"term":31,"count":10},"建立信任關係",{"term":33,"count":10},"固定護理人員",[35,39,44,49,54,59],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-109-1-psychiatric-community-017","躁症病人於住院期間，極易受到他人的影響，下列活動安排何者最適宜？",17,{"webId":40,"stem":41,"number":42,"year":9,"session":43},"nurse-109-2-psychiatric-community-033","為促進社區中慢性病人與家屬的溝通，護理師應扮演何種角色？",33,2,{"webId":45,"stem":46,"number":47,"year":48,"session":10},"nurse-110-1-psychiatric-community-047","有關愛滋病的三段五級防治原則，下列敘述何者錯誤？",47,110,{"webId":50,"stem":51,"number":52,"year":53,"session":43},"nurse-111-2-psychiatric-community-005","俗稱安公子的安非他命，其戒斷症狀最可能為下列何者？",5,111,{"webId":55,"stem":56,"number":57,"year":58,"session":43},"nurse-112-2-psychiatric-community-049","欲了解一段時間內，某地區人口群體被新診斷出 COVID-19 之比率，是屬於何種生命統計？",49,112,{"webId":60,"stem":61,"number":62,"year":63,"session":64},"nurse-113-3-psychiatric-community-013","有關疾病與核心症狀配對的描述，下列何者最適切？",13,113,3,"2026-09-04",1788510714078]