[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-110-1-psychiatric-community-006":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"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-110-1-精神科與社區衛生護理學-006","nurse-110-1-psychiatric-community-006",110,1,6,"對有聽幻覺（auditory hallucination）、被害妄想（delusion of persecution）的病人進行溝通時，下列回應何者較適當？",{"A":14,"B":15,"C":16,"D":17},"這裡除了我和你，並沒有其他人在說話","你說有人要害你，其實這是你的想像","你說有人害你，可是你還活得好好的","你這是幻聽、妄想的精神症狀，藥物可以改善","A",null,[],"本題考點是對幻聽與被害妄想病人的治療性溝通原則。考點在於面對幻覺妄想時,既不附和其內容也不強行爭辯,而是以陳述現實的方式溫和澄清,故『這裡除了我和你,並沒有其他人在說話』最適當,選 A。選項 B 直指是想像帶有否定質疑意味;C 用『你還活得好好的』反駁被害內容,易引發防衛;D 直接以精神症狀與藥物切入,忽略病人當下感受且具說教意味。判斷關鍵在於運用『呈現現實而不爭辯』的技巧,既不強化症狀也不否定病人。","面對幻覺妄想的溝通核心是『不爭辯內容、不附和、聚焦感受、呈現現實』。可用中性語句表達自己未共享該知覺(如自己沒聽到有人說話),同時承認病人的體驗是真實的困擾,再引導談其情緒。直接反駁或以邏輯戳破會被視為不理解而升高敵意與防衛,也無法消除固著信念。記憶:『我沒聽到,但我了解你很害怕』。與被害妄想者互動另需維持適當距離、動作透明可預期、避免耳語。可連結建立信任關係與現實導向技巧複習。",[24,27,30,32],{"term":25,"count":26},"治療性溝通",46,{"term":28,"count":29},"聚焦情緒感受",2,{"term":31,"count":10},"呈現現實不爭辯",{"term":33,"count":10},"幻聽與被害妄想",[35,39,43,48,53,58],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-110-1-psychiatric-community-007","對憂鬱症的病人進行「人際關係心理治療」，下列敘述何者較適當？",7,{"webId":40,"stem":41,"number":42,"year":9,"session":29},"nurse-110-2-psychiatric-community-023","依據學習理論，有關特定畏懼症（special phobia）病人學習恐懼的途徑，下列敘述何者最適當？",23,{"webId":44,"stem":45,"number":46,"year":47,"session":10},"nurse-111-1-psychiatric-community-037","對保護室內病人採取約束處置時，密切觀察的主要項目，不包含下列何項？",37,111,{"webId":49,"stem":50,"number":51,"year":52,"session":10},"nurse-112-1-psychiatric-community-075","根據長期照顧十年計畫 2.0，個案管理師進行個案長期照護需求評估時，下列何項最不適宜？",75,112,{"webId":54,"stem":55,"number":56,"year":57,"session":29},"nurse-113-2-psychiatric-community-019","有關行為治療應用的情境，下列何者最適切？",19,113,{"webId":59,"stem":60,"number":61,"year":62,"session":63},"nurse-114-3-psychiatric-community-013","有關抗鬱劑的衛教，下列敘述何者最適當？",13,114,3,"2026-09-04",1788510722430]