[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-109-2-psychiatric-community-007":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-109-2-精神科與社區衛生護理學-007","nurse-109-2-psychiatric-community-007",109,2,7,"40 歲的張小姐患有憂鬱症，某日向護理師抱怨：「吃藥讓我覺得非常不舒服，可否請你告訴醫生？」下列何項護理師的回答較為合適？",{"A":14,"B":15,"C":16,"D":17},"妳應該樂觀一點，很快就會好起來的！","醫生是為了妳好，妳不要拒絕吃藥！","下次看診時直接跟醫生說就可以了！","請再仔細描述是怎麼樣的不舒服？","D",null,[],"本題考點為治療性溝通技巧的運用。依治療性溝通的原則，面對病人主訴用藥不適，護理師應以開放式問句澄清、鼓勵表達，蒐集具體資訊並傳達關心，故回應請再仔細描述是怎麼樣的不舒服最能促進溝通，選 D。A 以妳應該樂觀一點屬不當保證與說教，忽視病人真實感受。B 以不要拒絕吃藥帶批判與強迫，破壞治療關係。C 直接跟醫生說則是把責任推回病人、關閉溝通，未回應其求助。三者皆為非治療性回應。","治療性溝通技巧包含傾聽、澄清、反映、開放式提問、接納與適當沉默。非治療性反應如假保證、說教、批判、給忠告、轉移話題。開放式提問（如描述看看）能引導病人具體化困擾，也是後續轉達醫師、評估藥物副作用的基礎。憂鬱症者對否定與說教尤敏感，接納態度是關鍵。",[24,27,30,33],{"term":25,"count":26},"治療性溝通",46,{"term":28,"count":29},"開放式問句",6,{"term":31,"count":32},"非治療性反應",1,{"term":34,"count":32},"接納",[36,40,45,49,54,60],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-109-2-psychiatric-community-008","阿雄國小三年級，自從父母離婚後，與母親相依為命，但於母親再婚後出現翹課、不參加活動，顯得鬰鬰寡歡，母親極為苦惱而接受家庭治療的幫助，有關其家庭治療的主要目的，下列何項正確？ ①矯正個人性格的偏差 ②改善家庭功能 ③協助家庭改善問題 ④改善家庭成員的互動",8,{"webId":41,"stem":42,"number":43,"year":44,"session":32},"nurse-110-1-psychiatric-community-024","護理師在精神科急性病房照顧王老先生期間，王老先生常表示她就像是自己的女兒一樣，並以「女兒」稱呼護理師。對此狀況之解釋，下列敘述何者較適當？",24,110,{"webId":46,"stem":47,"number":48,"year":44,"session":10},"nurse-110-2-psychiatric-community-038","有關「社區心理衛生中心」的主要服務內容，下列何者適當？",38,{"webId":50,"stem":51,"number":52,"year":53,"session":10},"nurse-111-2-psychiatric-community-076","有關長者在家進行肌力和肌耐力訓練，下列敘述何者錯誤？",76,111,{"webId":55,"stem":56,"number":57,"year":58,"session":59},"nurse-112-3-psychiatric-community-040","有關水媒疾病的敘述，下列何者正確？",40,112,3,{"webId":61,"stem":62,"number":63,"year":64,"session":32},"nurse-114-1-psychiatric-community-034","有關自我效能（self-efficacy）之敘述，下列何者最不適當？",34,114,"2026-09-04",1788510717853]