[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-109-2-psychiatric-community-004":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":35,"lastmod":64},"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-109-2-精神科與社區衛生護理學-004","nurse-109-2-psychiatric-community-004",109,2,4,"病人因罹患厭食症入院治療，母親說病人多次表示自己並非其親生的，很恨母親。但病人於會談中告訴護理師：「母親非常完美，而且非常懂得如何愛小孩。」病人主要使用何種防衛機轉？",{"A":14,"B":15,"C":16,"D":17},"否認（denial）","反向（reaction formation）","壓抑（suppression）","內射（introjection）","B",null,[],"本題考點為防衛機轉中反向作用的辨識。依反向作用（reaction formation）的定義，個體將不被接受的真實情感轉化為外顯的相反行為或態度，以壓制內在焦慮；病人內心恨母親、甚至否認血緣，卻在會談中極力宣稱母親完美又懂愛，正是以相反的讚美掩蓋敵意，選 B。A 否認是拒絕承認存在的事實，但病人並未否認母親存在或事件本身。C 壓抑（suppression）是有意識地將念頭擱置，此處是外顯出相反情感而非單純擱置。D 內射是將外在對象特質納入自我，與此表達相反情感的情況不符。","反向作用的線索是情感表達過度、僵化或與情境不符（如過度殷勤掩飾敵意）。與否認差別在：否認是不承認事實，反向是做出相反行為。臨床可見於矛盾情感強烈者。厭食症常涉及對控制、自我價值與母女關係的深層衝突，防衛機轉分析有助理解其人際模式。",[24,27,30,32],{"term":25,"count":26},"防衛機轉",8,{"term":28,"count":29},"反向作用",3,{"term":31,"count":10},"矛盾情感",{"term":33,"count":34},"厭食症心理",1,[36,40,45,49,54,59],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-109-2-psychiatric-community-005","護理師在進行精神病人的行為治療過程中，依病人特性設計有效的行為治療計畫，其常用的治療技術，下列何項正確？①正增強 ②認知療法 ③代幣制度 ④行為逐步養成",5,{"webId":41,"stem":42,"number":43,"year":44,"session":34},"nurse-110-1-psychiatric-community-021","有關創傷後壓力症（post-traumatic stress disorder; PTSD）病人的治療處置，下列何者較適當？",21,110,{"webId":46,"stem":47,"number":48,"year":44,"session":10},"nurse-110-2-psychiatric-community-035","許小姐 35 歲，反覆住院的情感性精神病病人。近日剛從急性病房轉慢性病房，家屬可接受病人返家同住，只是擔心病人病情惡化，病人有工作及復健潛能。下列有關病人的出院準備何者較適當？",35,{"webId":50,"stem":51,"number":52,"year":53,"session":10},"nurse-111-2-psychiatric-community-073","陳先生 75 歲，因腦中風住院，出院時留置鼻胃管及導尿管，並申請全民健康保險居家護理服務。居家護理師對照顧者的指導，下列敘述何者最不適當？",73,111,{"webId":55,"stem":56,"number":57,"year":58,"session":29},"nurse-112-3-psychiatric-community-037","根據渥太華健康促進憲章五大行動綱領，為提升成人戒菸比率，鼓勵醫療院所提供戒菸門診，最符合下列何種行動綱領的方針？",37,112,{"webId":60,"stem":61,"number":62,"year":63,"session":34},"nurse-114-1-psychiatric-community-031","某社區為降低老人跌倒率，增設無障礙設施，此屬渥太華健康促進憲章行動綱領的那一項？",31,114,"2026-09-04",1788510717826]