[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-109-2-psychiatric-community-026":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-026","nurse-109-2-psychiatric-community-026",109,2,26,"下列有關社區精神復健的照顧重點敘述，何者最適切？",{"A":14,"B":15,"C":16,"D":17},"須增加病人適應社會生活所需的問題解決能力","應每 15 分鐘評估病人自殺意念的危險程度","須加強建立病人角色功能","應協助病人改善其急性精神症狀的穩定度","A",null,[],"本題考點在區分社區精神復健與急性住院治療的照顧重點。社區復健屬慢性穩定期，目標是提升病人適應社會生活、解決日常問題的能力，協助其重返社區角色，故選 A「增加病人適應社會生活所需的問題解決能力」。B 每 15 分鐘評估自殺意念屬急性高風險期的密集監測，不是社區復健常規重點。C「加強建立病人角色功能」措辭偏誤，社區復健是恢復與維持既有角色功能，而非從零建立，且過度強調亦不如問題解決能力貼近核心。D 改善急性精神症狀的穩定度屬急性期藥物與危機處置範疇，與社區復健的時序不符，故排除。","可用治療時序記憶三階段：急性期先穩定症狀與安全、恢復期建立病識感與服藥遵從、社區復健期則練習社會功能與問題解決。社區復健常搭配社交技巧訓練、庇護性就業、會所模式等資源。可連結賦能模式與獨立生活技巧訓練延伸複習。",[24,27,30,32],{"term":25,"count":26},"社區精神復健",5,{"term":28,"count":29},"社會適應",1,{"term":31,"count":29},"問題解決能力",{"term":33,"count":29},"復健時序",[35,39,44,48,53,58],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-109-2-psychiatric-community-027","王小姐，1 年多來在電梯內及地下室特別容易焦慮不安及恐懼，會儘量迴避到這些場所，雖能認知此種害怕並不合理，但自己卻無法控制，其症狀最有可能為下列何項？",27,{"webId":40,"stem":41,"number":42,"year":43,"session":29},"nurse-110-1-psychiatric-community-043","王太太，49 歲，無抽菸與嚼檳榔史，未曾做過任何篩檢，依據全民健保預防保健服務範圍，她可接受那些篩檢項目？①成人預防保健「健康加值方案」 ②子宮頸癌篩檢 ③乳癌篩檢 ④大腸癌篩檢 ⑤口腔癌篩檢",43,110,{"webId":45,"stem":46,"number":47,"year":43,"session":10},"nurse-110-2-psychiatric-community-057","有關衛生教育的評價，下列敘述何者正確？",57,{"webId":49,"stem":50,"number":51,"year":52,"session":29},"nurse-112-1-psychiatric-community-015","陳先生診斷為思覺失調症，有嚴重幻聽干擾，時而聽見有人在稱讚他，時而又在指責他，導致他情緒起伏不定，因而多數時間都獨自躺床與幻聽對話。下列何項護理措施最適宜？",15,112,{"webId":54,"stem":55,"number":56,"year":57,"session":29},"nurse-113-1-psychiatric-community-009","下列何項描述符合鬱症發作（major depressive episode）的診斷？",9,113,{"webId":59,"stem":60,"number":61,"year":62,"session":10},"nurse-114-2-psychiatric-community-003","林太太因為同時面臨工作、婚姻、親子互動等多項挫折，而有憂鬱情緒，護理師的回應下列何者不適當？",3,114,"2026-09-04",1788510718037]