[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-109-2-psychiatric-community-008":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-109-2-精神科與社區衛生護理學-008","nurse-109-2-psychiatric-community-008",109,2,8,"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",{"A":14,"B":15,"C":16,"D":17},"①②③","①②④","①③④","②③④","D",null,[],"本題考點為家庭治療的目的。依家庭治療以系統觀為基礎的理念，其視問題為家庭互動的產物，目標在於改善家庭功能、協助家庭共同面對與改善問題、並促進成員間的互動，故②③④正確，選 D。①矯正個人性格的偏差屬個別心理治療的焦點，家庭治療不以修正單一成員人格為目標，故排除。含①的選項 A、B、C 均因納入個人性格矯正而錯誤。阿雄的行為被視為家庭系統失衡的表徵，介入焦點在整個家庭。","家庭治療核心概念：家庭為一互動系統，成員症狀常是系統壓力的代罪羔羊（identified patient）。治療著重溝通模式、界線、次系統與家庭規則的調整，而非個別病理。常見學派有結構學派（Minuchin）、策略學派、系統學派。與個別治療的分界即在焦點是關係而非個人性格。",[24,27,30,32],{"term":25,"count":26},"家庭治療",5,{"term":28,"count":29},"家庭系統理論",4,{"term":31,"count":10},"代罪羔羊",{"term":33,"count":10},"家庭功能",[35,39,45,49,54,60],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-109-2-psychiatric-community-009","38 歲林先生，騎車時發生嚴重車禍，之後持續出現睡不著、惡夢連連、感覺還聽到撞車時的剎車聲，抱怨被截斷的左腳似乎猶存，感到極度疼痛，常獨自在家中生氣，也不敢再經過車禍地點，上述症狀持續 1 個月以上，下列何項為最可能的問題？",9,{"webId":40,"stem":41,"number":42,"year":43,"session":44},"nurse-110-1-psychiatric-community-025","依據 DSM-5 所訂定之標準，物質使用障礙症（substance use disorders）中，有關耐受性（tolerance）的敘述，下列何者正確？",25,110,1,{"webId":46,"stem":47,"number":48,"year":43,"session":10},"nurse-110-2-psychiatric-community-039","有關精神科住院病人出現暴力行為的護理措施，下列敘述何者錯誤？",39,{"webId":50,"stem":51,"number":52,"year":53,"session":10},"nurse-111-2-psychiatric-community-077","67 歲的歐陽先生於上個月參加成人健檢，檢查結果：三酸甘油脂為 218 mg\u002FdL，低密度膽固醇 196 mg\u002FdL，血壓 158\u002F110 mmHg，空腹血糖 99 mg\u002FdL。下列何者不是心血管疾病危險因子？",77,111,{"webId":55,"stem":56,"number":57,"year":58,"session":59},"nurse-112-3-psychiatric-community-041","下列何種家庭評估工具，最適合用來評估獨居老人的外在連結和資源？",41,112,3,{"webId":61,"stem":62,"number":63,"year":64,"session":44},"nurse-114-1-psychiatric-community-035","依據加拿大衛生福利部於1974年提出的影響健康的四大要素，下列那一項對健康的影響最大？",35,114,"2026-09-04",1788510717872]