[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-109-2-psychiatric-community-022":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"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-022","nurse-109-2-psychiatric-community-022",109,2,22,"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？",{"A":14,"B":15,"C":16,"D":17},"「觀音菩薩要妳做什麼？」","「那個聲音在跟妳說什麼？」","「神明在指示妳什麼？」","「那個幻聽在跟妳說什麼？」","B",null,[],"本題考點為幻聽病人溝通用語的拿捏。依幻聽照護原則，護理師既不應附和幻聽內容的真實性，也宜以中性方式指涉病人所聽到的經驗，故以那個聲音在跟妳說什麼最為適當，既承認其主觀經驗又不強化妄想，選 B。A 觀音菩薩要妳做什麼與 C 神明在指示妳什麼都把幻聽對象當真、附和其妄想，會強化病態信念。D 那個幻聽在跟妳說什麼直接以臨床標籤幻聽指稱，在此階段可能形成對質、否定其真實感受，較不利建立信任。故以中性的那個聲音最恰當。","與幻聽病人溝通的原則：以你聽到的聲音等中性詞承接其經驗，既不否定也不附和內容真實性。附和（把神明當真）會鞏固妄想；過早以幻聽對質則易引發防衛。目標是理解幻聽內容（有無命令式幻聽等安全評估）並維持治療關係。命令式幻聽的安全評估尤為重要。",[24,27,30,32],{"term":25,"count":26},"幻聽照護",3,{"term":28,"count":29},"中性指涉",1,{"term":31,"count":29},"不附和妄想",{"term":33,"count":29},"命令式幻聽評估",[35,39,44,48,53,58],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-109-2-psychiatric-community-023","楊女士 25 歲，半個月以來情緒高昂，不斷參加社交活動，一直找人講話，但話題常跳躍，若別人聽不懂，就生氣罵人，晚上不睡覺，半夜外出，家人擔心安危，故入院治療。下列何者最可能為楊女士的症狀？",23,{"webId":40,"stem":41,"number":42,"year":43,"session":29},"nurse-110-1-psychiatric-community-039","張先生 40 歲，被診斷為思覺失調症，因出現被害妄想，持長棍於住家樓下，對路過行人出現言語恐嚇之行為。經聯絡警消人員送醫後強制住院治療。入病室後病人出現激躁不安、神情緊張、用力拍門及對病友口出威脅的言語，下列何者是醫護人員應立即採取的措施？",39,110,{"webId":45,"stem":46,"number":47,"year":43,"session":10},"nurse-110-2-psychiatric-community-053","有關護理師運用社區資源的敘述，下列何者不適當？",53,{"webId":49,"stem":50,"number":51,"year":52,"session":29},"nurse-112-1-psychiatric-community-011","有關認知行為治療步驟的敘述，下列何者最不適宜？",11,112,{"webId":54,"stem":55,"number":56,"year":57,"session":29},"nurse-113-1-psychiatric-community-005","有關認知行為治療的敘述，下列何者最適切？",5,113,{"webId":59,"stem":60,"number":61,"year":62,"session":29},"nurse-114-1-psychiatric-community-049","林先生56歲，身高167公分，體重82公斤，喜歡吃滷五花肉，經常便秘，初次檢查結果顯示血中總膽固醇（total cholesterol）數值為245 mg\u002FdL，三酸甘油酯（triglyceride）的數值為230 mg\u002FdL。護理師提供的衛教重點下列那一項最適當？",49,114,"2026-09-04",1788510718001]