[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-109-2-psychiatric-community-013":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":35,"lastmod":63},"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-013","nurse-109-2-psychiatric-community-013",109,2,13,"朱同學 16 歲，因重度憂鬱症而住院治療，有關其住院時之環境治療，下列敘述何項正確？①環境須是高度結構化及控制的 ②以外在的控制處理其抗拒行為 ③協助個案統整好的／壞的自我 ④支持個案的自我探索及提供希望",{"A":14,"B":15,"C":16,"D":17},"①②③","①②④","①③④","②③④","C",null,[],"本題考點為青少年重度憂鬱症住院的環境治療原則。依環境治療（milieu therapy）的理念，對青少年憂鬱個案應提供高度結構化與安全可控的環境（①）、協助其統整好與壞的自我意象以穩定自我概念（③）、並支持自我探索與提供希望以促成長（④），故①③④正確，選 C。②以外在控制處理其抗拒行為並不適當，環境治療重在支持與引導、建立信任關係，過度外控會強化對立與退縮，故排除；含②的 A、B、D 均錯誤。","環境治療視整個病房環境為治療媒介，強調結構、安全、限制與支持的平衡。對憂鬱青少年，防自傷的安全與希望的灌注並重，並協助整合分裂的自我意象。過度外在控制易破壞治療同盟，宜以協商、賦權與情感支持取代對抗。連結概念：治療性環境、限制設定、青少年發展任務。",[24,27,30,32],{"term":25,"count":26},"治療性關係",11,{"term":28,"count":29},"環境治療",6,{"term":31,"count":10},"結構化環境",{"term":33,"count":34},"自我意象統整",1,[36,40,45,49,53,58],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-109-2-psychiatric-community-014","有關精神病理學症狀的描述，下列何者正確？",14,{"webId":41,"stem":42,"number":43,"year":44,"session":34},"nurse-110-1-psychiatric-community-030","對於暴食症（Bulimia Nervosa）病人的特徵之敘述，下列何者錯誤？",30,110,{"webId":46,"stem":47,"number":48,"year":44,"session":10},"nurse-110-2-psychiatric-community-044","未滿 1 歲 6 個月的兒童，全民健保提供幾次兒童預防保健服務？",44,{"webId":50,"stem":51,"number":10,"year":52,"session":34},"nurse-112-1-psychiatric-community-002","提出個體之人際關係不良會帶來焦慮反應的是那位學者？",112,{"webId":54,"stem":55,"number":56,"year":52,"session":57},"nurse-112-3-psychiatric-community-046","有關居家護理師之角色與功能之敘述，下列何者錯誤？",46,3,{"webId":59,"stem":60,"number":61,"year":62,"session":34},"nurse-114-1-psychiatric-community-040","護理師進行家訪時發現，李奶奶因患有退化性骨關節炎而行動不便，李爺爺則患有高血壓和糖尿病，已定期回診並規律服藥控制。下列何者為此家庭最優先的個案管理目標？",40,114,"2026-09-04",1788510717922]