[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-110-1-psychiatric-community-013":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-110-1-精神科與社區衛生護理學-013","nurse-110-1-psychiatric-community-013",110,1,13,"王先生，在家因覺得有人要害他、跟蹤他而不敢睡覺，故由父親帶來住院，住院後仍覺得周遭的人不懷好意，護理師提供之照護措施，下列何者正確？①同理並接受病人感受 ②主動積極接觸關懷病人 ③評估妄想對病人生活干擾的程度 ④不要與病人爭辯妄想的真實性",{"A":14,"B":15,"C":16,"D":17},"①②③","①②④","①③④","②③④","C",null,[],"本題考點為妄想病人的護理原則。考點在於辨識「同理接受、不爭辯真實性、評估干擾程度」皆屬正確方向,故選①③④(C)。依治療性人際關係原則,妄想是病人主觀的真實體驗,直接反駁會破壞信任,護理師應同理其感受(①)、避免爭辯妄想真偽(④),並客觀評估妄想對生活功能的干擾以擬定照護重點(③)。②「主動積極接觸關懷」錯在對被害妄想病人過度熱切靠近,反而強化其被監視、被威脅的猜疑,應採漸進、可預期、保持適當距離的接觸。故排除含②的A、B、D。","妄想症的護理核心是「不強化、不否定、不爭辯」。被害妄想病人對人際距離高度敏感,過度主動反被解讀為敵意或監控,因此接觸須低刺激、態度一致、行為可預期,先建立安全感再逐步靠近。同理的是「感受」(你一定很害怕)而非「內容」(確實有人害你),兩者要區分清楚。評估干擾程度可用生活功能、睡眠、進食、自我照顧等面向量化,作為療效追蹤指標。可對比:面對憂鬱退縮病人才需較主動的接觸,面對妄想猜疑病人則相反,選項設計正是用此對比設陷阱。",[24,27,30,33],{"term":25,"count":26},"治療性人際關係",12,{"term":28,"count":29},"被害妄想",10,{"term":31,"count":32},"不爭辯妄想真實性",2,{"term":34,"count":10},"同理感受而非內容",[36,40,44,49,53,58],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-110-1-psychiatric-community-014","有關妄想症（delusional disorder）的敘述，下列何者正確？",14,{"webId":41,"stem":42,"number":43,"year":9,"session":32},"nurse-110-2-psychiatric-community-030","有關護理評估自閉症類群障礙症（autism spectrum disorder）的核心障礙，下列何者錯誤？",30,{"webId":45,"stem":46,"number":47,"year":48,"session":10},"nurse-111-1-psychiatric-community-044","有關「急性病毒性Ａ型肝炎」的敘述，下列何者錯誤？",44,111,{"webId":50,"stem":51,"number":32,"year":52,"session":32},"nurse-112-2-psychiatric-community-002","某精神科醫師在門診時，暗示病人有新藥的臨床試驗計畫，藥效比較好，病人基於對醫師的信任並認為新藥的治療效果較佳，同意簽人體試驗同意書，下列敘述何者正確？",112,{"webId":54,"stem":55,"number":56,"year":57,"session":32},"nurse-113-2-psychiatric-community-026","根據長期照顧十年計畫 2.0，核定失能等級與給付額度，為下列何者？",26,113,{"webId":59,"stem":60,"number":61,"year":62,"session":63},"nurse-114-3-psychiatric-community-020","躁症病人常到護理站做出過多的要求，例如外出買零食，下列護理措施何者適當？①拖延轉移注意力 ②執行肢體約束 ③給予適當的限制 ④雙方協商給予部分滿足",20,114,3,"2026-09-04",1788510722510]