[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-109-1-psychiatric-community-027":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-027","nurse-109-1-psychiatric-community-027",109,1,27,"對身體症狀及相關障礙症（Somatic Symptom and Related Disorder）的病人提供照護時，下列敘述何者較適切？",{"A":14,"B":15,"C":16,"D":17},"強調是心理層面的問題，不需評估生理層面","除非心理問題已獲得改善，否則身體症狀不容易改善","病人最常使用合理化防衛機轉，可指出其矛盾之處","告知病人身體症狀能在短期內改善，可藉此灌注病人希望","B",null,[],"本題考點在於身體症狀及相關障礙症的照護原則。此類病人以身體不適表達潛在心理困擾,依身心症照護原則,身體症狀往往需待心理問題處理改善後才會緩解,故B正確。A錯,不可只強調心理層面而略過生理評估,仍須先排除器質性疾病確保安全,不能貿然斷定純屬心理。C錯,此類病人最常用的防衛多為潛抑\u002F轉化而非合理化,且直接指出矛盾之處易引發抗拒,不利治療關係。D錯,不應保證症狀短期內會改善,身心症病程常反覆,不實承諾會失去信任,灌注希望應誠實而非空許。唯B正確反映身心關聯的照護核心。","身體症狀障礙症(Somatic Symptom Disorder)核心是對身體症狀有過度的想法、感受與行為,症狀是真實體驗而非裝病。照護原則:先排除器質病因、以接納態度傾聽、不直接對質、聚焦壓力與情緒、避免不必要檢查、建立固定會談。記憶:身心症「身根於心」,心結不解身痛難消;不否定症狀、不空頭承諾、不硬拆穿。",[24,27,30,32],{"term":25,"count":26},"防衛機轉",8,{"term":28,"count":29},"身體症狀障礙症",5,{"term":31,"count":10},"身心關聯",{"term":33,"count":10},"身心症照護原則",[35,39,44,49,54,59],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-109-1-psychiatric-community-028","下列何種神經傳導物質的變化最能說明引發焦慮症病人焦慮症狀的生理機制？",28,{"webId":40,"stem":41,"number":42,"year":9,"session":43},"nurse-109-2-psychiatric-community-044","欲得知 18～65 歲民眾發生慢性腎臟病的危險因子，下列何種研究方法短時間內可得到結果？",44,2,{"webId":45,"stem":46,"number":47,"year":48,"session":10},"nurse-110-1-psychiatric-community-058","下列何者是堆肥法處理最主要的優點？",58,110,{"webId":50,"stem":51,"number":52,"year":53,"session":43},"nurse-111-2-psychiatric-community-016","張太太，58 歲，診斷為憂鬱症，入院第三天，整天躺床，覺得焦慮不安、精神不集中且常常哭泣，對病房活動沒有參與動機，下列何者照護措施較適當？",16,111,{"webId":55,"stem":56,"number":57,"year":58,"session":43},"nurse-112-2-psychiatric-community-060","有關一氧化碳的敘述，下列何者錯誤？",60,112,{"webId":60,"stem":61,"number":62,"year":63,"session":64},"nurse-113-3-psychiatric-community-024","王先生診斷為思覺失調症，在精神科慢性病房接受治療，護理人員運用治療性環境促進病人的社交技巧，下列何項錯誤？",24,113,3,"2026-09-04",1788510714208]