[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-109-2-psychiatric-community-021":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":36,"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-021","nurse-109-2-psychiatric-community-021",109,2,21,"蔡小姐診斷為思覺失調症，第一次發病，護理師觀察到個案眼神閃爍，站在病室前，神情緊張，個案告訴護理師一直聽到有人在罵自己醜女人，我真的好痛苦，下列護理師的回應何者最適切？",{"A":14,"B":15,"C":16,"D":17},"直接告訴個案那是幻聽，並請個案嘗試轉移注意力","「妳似乎很在意別人對妳外表的批評？願意談談妳對自己外表的看法嗎？」","妳認為自己很醜嗎？","安排個案進保護室，減少刺激以改善幻聽狀況","B",null,[],"本題考點為幻聽病人的治療性回應。依治療性溝通與同理原則，蔡小姐首次發病、因幻聽罵其醜女人而痛苦，護理師宜回應其背後的情緒與自我概念，故以妳似乎很在意別人對外表的批評、願意談談對自己外表的看法最能表達理解並引導表達，選 B。A 直接指稱是幻聽並要她轉移注意力，否定了當下的痛苦感受。C 妳認為自己很醜嗎易強化其負向自我評價。D 逕安排進保護室屬過度限制，未達危險程度不宜，也未回應情緒。","幻聽照護兼顧不強化幻覺內容與回應情緒經驗。急性期先建立信任、同理痛苦，適時以現實導向澄清（而非急於否定）。此題幻聽內容涉及自我價值，切入其對外表與自尊的感受，比直接貼幻聽標籤更具治療性。轉移注意力可作為後續因應技巧，但非首要回應。",[24,27,30,33],{"term":25,"count":26},"治療性溝通",46,{"term":28,"count":29},"同理心",4,{"term":31,"count":32},"幻聽照護",3,{"term":34,"count":35},"自我概念",1,[37,41,46,50,55,59],{"webId":38,"stem":39,"number":40,"year":9,"session":10},"nurse-109-2-psychiatric-community-022","方小姐 28 歲，診斷為思覺失調症，因與宮廟工作人員發生衝突，入院治療，護理師觀察到個案喃喃自語，時而發笑，時而側耳傾聽，表示觀音菩薩正在跟她說話，請護理師別吵她，護理師的回應，下列何項較適當？",22,{"webId":42,"stem":43,"number":44,"year":45,"session":35},"nurse-110-1-psychiatric-community-038","對於自殺行為與精神疾病之敘述，下列何者錯誤？",38,110,{"webId":47,"stem":48,"number":49,"year":45,"session":10},"nurse-110-2-psychiatric-community-052","有關社區健康評估的目的，下列何者不適當？",52,{"webId":51,"stem":52,"number":53,"year":54,"session":35},"nurse-112-1-psychiatric-community-010","依據 DSM-5 診斷準則，有關思覺失調症（Schizophrenia）診斷標準的描述，下列何者正確？",10,112,{"webId":56,"stem":57,"number":29,"year":58,"session":35},"nurse-113-1-psychiatric-community-004","李先生為憂鬱症病人，因工作不順遂，與同事發生嚴重爭執，由案妻陪同到醫院接受治療，下列何項溝通技巧最不適宜？",113,{"webId":60,"stem":61,"number":62,"year":63,"session":35},"nurse-114-1-psychiatric-community-048","林女士76歲獨居，有多重慢性病史，不慎跌倒導致下肢嚴重骨折，經住院治療後病情穩定出院回家休養。有關個案管理師的職責，下列何者最不適當？",48,114,"2026-09-04",1788510717997]