[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-109-2-psychiatric-community-028":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-028","nurse-109-2-psychiatric-community-028",109,2,28,"王同學診斷妄想症，某科考試不及格，出現易怒，無法與人互動，最近因為症狀嚴重故入院治療，住院第 4 天，會談時表示同學們忌妒他成績比較好，都會中傷他，老師也受到其他同學的挑撥，對他特別嚴格，會談中出現哭泣現象，此時護理師的措施何者最適切？",{"A":14,"B":15,"C":16,"D":17},"與病人探討妄想症狀的原因","與病人分享自我失敗經驗，並鼓勵病人絕對可以走過這不舒服階段","以和緩的態度詢問病人「為何大家都針對你，而不針對別人呢？」","陪伴並傾聽病人的表達及感受","D",null,[],"本題考點在面對妄想症病人情緒表露時的治療性溝通。原則是既不與妄想內容爭辯或探究，也不強化妄想，而是接納並回應病人背後的情緒感受。王同學哭泣時，護理師應陪伴並傾聽其表達與感受，故選 D。A 與病人探討妄想的原因，等同深入其妄想架構，反易強化固著。B 分享自我失敗經驗並保證「絕對可以走過」，是不切實際的空泛保證，也把焦點移到護理師身上。C 以看似和緩的口吻反問「為何大家都針對你」，實為質疑其妄想，可能引發防衛與敵意，故皆不宜。治療重點在同理陪伴而非處理妄想真偽。","與妄想相處的三不原則可記為「不爭辯、不附和、不追問內容」，改以「我看到你現在很難過」等聚焦感受的回應建立信任。這反映治療性溝通中接納、同理與積極傾聽技巧。可連結建立治療性人際關係、避免不當保證（false reassurance）等溝通概念延伸複習。",[24,27,29,32],{"term":25,"count":26},"治療性溝通",46,{"term":28,"count":10},"同理接納",{"term":30,"count":31},"妄想症護理",1,{"term":33,"count":31},"積極傾聽",[35,39,44,48,53,58],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-109-2-psychiatric-community-029","李同學為自閉症類群障礙症病人，某日於團體治療時聽見救護車經過的聲音隨即尖叫拍打頭部，下列何種處置較合宜？",29,{"webId":40,"stem":41,"number":42,"year":43,"session":31},"nurse-110-1-psychiatric-community-045","有關結核病防治工作敘述，下列何者錯誤？",45,110,{"webId":45,"stem":46,"number":47,"year":43,"session":10},"nurse-110-2-psychiatric-community-059","下列何者是目前健康體適能的測量指標？",59,{"webId":49,"stem":50,"number":51,"year":52,"session":31},"nurse-112-1-psychiatric-community-017","陳先生，診斷為雙相情緒障礙症，住院期間不斷投書給院長，對病房設施提出許多建議。下列何項護理措施最適宜？",17,112,{"webId":54,"stem":55,"number":56,"year":57,"session":31},"nurse-113-1-psychiatric-community-011","王小姐有被害妄想，一直擔心家人在食物中下毒，入院後仍不肯進食。下列何者是最優先的護理措施？",11,113,{"webId":59,"stem":60,"number":61,"year":62,"session":10},"nurse-114-2-psychiatric-community-005","有關自閉症類群障礙症（autism spectrum disorder）之敘述，下列何者錯誤？",5,114,"2026-09-04",1788510718060]