[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-110-1-psychiatric-community-010":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-110-1-精神科與社區衛生護理學-010","nurse-110-1-psychiatric-community-010",110,1,10,"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？",{"A":14,"B":15,"C":16,"D":17},"引導病人談與妄想內容有關的情緒與感受","告訴病人不要胡思亂想，症狀就會慢慢不見","強烈質疑病人的妄想內容，讓病人感到自我矛盾與錯亂","儘量不要跟病人討論以免加重病情","A",null,[],"本題考點是對思覺失調症妄想病人的護理回應。考點在於處理妄想不在爭辯內容真偽,而是接納並引導病人表達妄想背後的情緒與感受,以建立信任並理解其需求,故選 A。選項 B 以『不要胡思亂想症狀就會不見』否定病人且不切實際;C 強烈質疑妄想內容製造矛盾錯亂,會升高焦慮與防衛;D 完全避談則忽略病人並阻斷治療性關係。判斷關鍵在於運用『不爭辯內容、聚焦情緒』的原則回應妄想。","面對固著妄想,直接反駁無效且傷害關係,護理重點是先建立信任、接納病人的情緒體驗,引導其談論妄想帶來的害怕、憤怒或孤單等感受,再逐步以現實導向溫和澄清。這既不強化妄想,也不否定病人。切忌附和內容、爭辯戳破或完全迴避。記憶:『妄想不辯真假,只接情緒感受』。同時要評估妄想是否含攻擊或自傷傾向以確保安全。可連結治療性溝通技巧、現實導向與信任關係建立階段一併複習,理解妄想照護的一致原則。",[24,27,30,32],{"term":25,"count":26},"思覺失調症",17,{"term":28,"count":29},"聚焦情緒感受",2,{"term":31,"count":10},"妄想護理",{"term":33,"count":10},"不爭辯內容",[35,39,43,48,53,58],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-110-1-psychiatric-community-011","廖先生診斷為躁症，入院後常只吃一口飯，就四處去找病友，說要監督別人有無浪費食物，下列何項護理措施較適當？",11,{"webId":40,"stem":41,"number":42,"year":9,"session":29},"nurse-110-2-psychiatric-community-027","邱同學在會考前 1 個月，每次學校模擬考時都感到右手無力，被家人送到神經內科求診，但經多科醫師會診及檢查，卻找不到任何跟生理病變有關的證據，邱同學最有可能是下列何項診斷？",27,{"webId":44,"stem":45,"number":46,"year":47,"session":10},"nurse-111-1-psychiatric-community-041","有關健康融入所有政策（health in all policies）的概念，下列敘述何者正確？",41,111,{"webId":49,"stem":50,"number":51,"year":52,"session":10},"nurse-112-1-psychiatric-community-079","社區護理師家訪過程，失智症個案王老先生反覆問：「小姐請問你是誰？叫什麼大名？」護理師應採何種應對方式最適宜？",79,112,{"webId":54,"stem":55,"number":56,"year":57,"session":29},"nurse-113-2-psychiatric-community-023","錢先生，36 歲，罹病 10 年，由父母照顧提供其生活所需。日常與家人相處時多言語衝突，指責父母。案父與病人多各說各話，案父尋求居家護理師協助。此情境下，精神科居家護理師最優先的照護目標為何？",23,113,{"webId":59,"stem":60,"number":26,"year":61,"session":62},"nurse-114-3-psychiatric-community-017","有關自殺的概念，下列敘述何者最不適當？",114,3,"2026-09-04",1788510722475]