[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-109-2-psychiatric-community-030":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-030","nurse-109-2-psychiatric-community-030",109,2,30,"人格違常的護理措施主要針對病人所出現之特殊行為或症狀處理，常見的問題行為下列何者正確？ ①自我傷害 ②操縱 ③衝動行為 ④自我照顧能力缺失",{"A":14,"B":15,"C":16,"D":17},"①②③","①②④","①③④","②③④","A",null,[],"本題考點在人格違常常見的問題行為類型。人格違常以長期僵化的人際與情緒模式為特徵，臨床上常見的問題行為包括①自我傷害（尤以邊緣型）、②操縱他人以滿足需求、③衝動行為（衝動控制不佳），三者皆屬人格違常的核心行為表現，故選 A（①②③）。④自我照顧能力缺失並非人格違常的典型問題，該項多見於思覺失調、失智或重度憂鬱等造成功能明顯退化的疾病；人格違常者一般日常自理功能大致完整。因此凡納入④的 B、C、D 組合皆不符，僅 A 正確。","可用邊緣型人格作代表記憶其問題行為叢集：情緒不穩、自傷／自殺威脅、操縱與分裂（splitting）、衝動（如揮霍、暴食、危險駕駛）。護理重點在設定一致且清楚的界線以因應操縱行為，並落實自傷風險評估。可連結分裂防衛機轉、界線設定與治療團隊一致性延伸複習。",[24,27,29,32],{"term":25,"count":26},"操縱行為",3,{"term":28,"count":10},"衝動控制",{"term":30,"count":31},"人格違常",1,{"term":33,"count":31},"自我傷害",[35,39,44,48,53,58],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-109-2-psychiatric-community-031","李同學 10 歲，是智能不足的兒童，因為在學校常與同學發生衝突並出手打壞同學眼鏡，學校護理師對於其暴力行為擬定行為修正約定：如果 1 天都未出現任何肢體攻擊，下列處置何者最適當？",31,{"webId":40,"stem":41,"number":42,"year":43,"session":31},"nurse-110-1-psychiatric-community-047","有關愛滋病的三段五級防治原則，下列敘述何者錯誤？",47,110,{"webId":45,"stem":46,"number":47,"year":43,"session":10},"nurse-110-2-psychiatric-community-061","有關醫療廢棄物的處理，下列敘述何者正確？",61,{"webId":49,"stem":50,"number":51,"year":52,"session":31},"nurse-112-1-psychiatric-community-019","林先生躁症發作（Manic Episode）住急性病房，因為發燒被安置於隔離室觀察，林先生頻頻要求出隔離室，下列那些護理處置最適宜？①設限：你現在發燒要觀察，暫時不能出隔離室 ②拖延：不予理會、不回應 ③給予部分接受：我幫你量體溫，依據體溫狀況再決定 ④要求頻率太高，改為約束，避免出隔離室",19,112,{"webId":54,"stem":55,"number":56,"year":57,"session":31},"nurse-113-1-psychiatric-community-013","根據佛洛伊德學說，人格障礙病人在肛門期受到過度的管教約束，影響心性發展。以下何者為其日後的行為模式？",13,113,{"webId":59,"stem":60,"number":61,"year":62,"session":10},"nurse-114-2-psychiatric-community-007","關於理情治療（rational emotive therapy）的論點，下列敘述何者正確？",7,114,"2026-09-04",1788510718089]