[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-110-1-psychiatric-community-009":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"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-009","nurse-110-1-psychiatric-community-009",110,1,9,"環境治療應用於急性住院病房之敘述，下列何項較適當？",{"A":14,"B":15,"C":16,"D":17},"提高環境刺激，以照護躁症病人感官增加之需求","不論那種情境使用身體約束及保護室隔離，都不符合環境治療原則","多種感官刺激的環境不適合失智症個案的照護","運用環境治療設計的原則於「住院生活作息表」及「生活討論會」","D",null,[],"本題考點是環境治療在急性精神病房的應用原則,要挑出較適當者。考點在於環境治療強調將治療元素融入日常結構,運用其設計原則於住院生活作息表與生活討論會,使病房本身成為治療媒介,故選 D。選項 A 錯,躁症病人需降低而非提高環境刺激以避免過度激動;B 錯,身體約束與保護室隔離在病人有傷害風險時是必要的安全措施,並非一律違反環境治療原則;C 錯,適度多感官刺激對失智個案的定向與情緒有幫助,並非全然不適合。判斷關鍵在於理解環境治療是以結構化安全環境促進康復。","環境治療視整體病房環境為治療工具,透過安全、結構、支持與病人參與,培養社會化與自我管理能力。原則包含明確作息與規範、可預期的環境、鼓勵病人參與治療性活動與團體,如生活討論會、職能與休閒安排。刺激量須依病況調整:躁症與譫妄要減少刺激,退縮者則適度增加。約束與隔離屬保護性措施,須在最小化與嚴密監測下使用。記憶:『環境即治療:安全、結構、參與、適刺激』。可連結治療性人際關係與團體治療複習。",[24,27,29,31],{"term":25,"count":26},"環境治療",6,{"term":28,"count":10},"結構化治療環境",{"term":30,"count":10},"生活作息與團體",{"term":32,"count":10},"刺激量調整",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-110-1-psychiatric-community-010","當罹患思覺失調症病人不斷敘述他的妄想內容時，下列何項護理措施較適當？",10,{"webId":39,"stem":40,"number":41,"year":9,"session":42},"nurse-110-2-psychiatric-community-026","有關人格障礙症（personality disorder）的特性與病因，下列敘述何者較適當？",26,2,{"webId":44,"stem":45,"number":46,"year":47,"session":10},"nurse-111-1-psychiatric-community-040","根據卡普蘭（Caplan, G.）危機理論，當個人常慣用的因應機轉失敗時，個體功能變得紊亂時，此為何項危機理論的分期？",40,111,{"webId":49,"stem":50,"number":51,"year":52,"session":10},"nurse-112-1-psychiatric-community-078","依據糖尿病照護指引，糖尿病之控制標準下列何者較不適宜？",78,112,{"webId":54,"stem":55,"number":56,"year":57,"session":42},"nurse-113-2-psychiatric-community-022","有關精神衛生護理社區護理實務能力，下列敘述何者正確？",22,113,{"webId":59,"stem":60,"number":61,"year":62,"session":63},"nurse-114-3-psychiatric-community-016","一位 22 歲女性，常瘋狂地逃避想像被男友拋棄、經常有空虛感、對人際關係極度敏感、情緒不穩定、有過度消費和割腕等自我傷害的衝動行為。這位病人最可能罹患下列何項人格障礙症？",16,114,3,"2026-09-04",1788510722462]