[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-109-2-psychiatric-community-031":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":35,"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-031","nurse-109-2-psychiatric-community-031",109,2,31,"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？",{"A":14,"B":15,"C":16,"D":17},"可以獲得 3 張小小兵的娛樂點數","不用罰寫國語課本的內容","取消下課後整理課桌椅的規定","紀錄 3 天皆能遵守約定，才給與文具獎勵","A",null,[],"本題考點在行為改變技術中正增強的正確運用。行為修正約定應在目標行為出現後，立即給予病人喜愛的正向刺激以強化該行為。李同學若一天未出現肢體攻擊，給予 3 張娛樂點數，屬立即且明確的正增強（代幣制度），故選 A。B 不用罰寫、C 取消整理課桌椅，皆為「移除嫌惡刺激」的負增強，雖也能增加行為，但非本題所欲凸顯的正向獎勵設計。D 記錄 3 天皆遵守才給文具獎勵，延遲了增強時機，對智能不足兒童而言增強物與行為的連結會被削弱，不符「即時增強」原則，故排除。","增強四象限可用「加正向＝正增強、減嫌惡＝負增強、加嫌惡＝正處罰、減正向＝負處罰」記憶，兩者皆增加行為的是正、負增強。代幣制度（token economy）適用兒童與慢性精神病人，關鍵在增強即時、標準明確且獎勵具吸引力。可連結行為塑造、增強時制與消弱延伸複習。",[24,27,30,32],{"term":25,"count":26},"正增強",7,{"term":28,"count":29},"代幣制度",4,{"term":31,"count":10},"行為改變技術",{"term":33,"count":34},"即時增強",1,[36,40,45,49,54,59],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-109-2-psychiatric-community-032","李小姐因厭食症住進精神科急性病房，身高 158 公分，體重由原 56 公斤，在半年內降至 36 公斤，因在家昏厥而入院，於靜脈注射後已恢復意識，但不願進食，住院第一週首要的護理措施為何？",32,{"webId":41,"stem":42,"number":43,"year":44,"session":34},"nurse-110-1-psychiatric-community-048","下列那些疾病是由病毒引起？①登革熱 ②日本腦炎 ③霍亂 ④麻疹",48,110,{"webId":46,"stem":47,"number":48,"year":44,"session":10},"nurse-110-2-psychiatric-community-062","有關家庭內在資源中的軟體結構支持（structure support）下列敘述何者正確？",62,{"webId":50,"stem":51,"number":52,"year":53,"session":34},"nurse-112-1-psychiatric-community-020","李小姐，因鬱症發作（Major Depressive Episode）住院，每天均表情愁苦、暗自垂淚。護理師問李小姐：「如果以 0 分到 10 分作評量，0 分是最低落，你目前是幾分？」李小姐回答 0 分。請問護理師正在執行下列何項護理評估？",20,112,{"webId":55,"stem":56,"number":57,"year":58,"session":34},"nurse-113-1-psychiatric-community-014","有關恐慌症的敘述，下列何者最不適切？",14,113,{"webId":60,"stem":61,"number":62,"year":63,"session":10},"nurse-114-2-psychiatric-community-008","關於團體療效因子「凝聚力」的敘述，下列何者正確？",8,114,"2026-09-04",1788510718103]