[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-110-1-psychiatric-community-016":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-016","nurse-110-1-psychiatric-community-016",110,1,16,"王小姐診斷為妄想症（delusional disorder），認為自己的伙食被下毒，而拒絕食用，下列護理措施何者最適切？",{"A":14,"B":15,"C":16,"D":17},"宜安排固定的護理師照顧，培養信任感","扶著病人的手協助餵食","保證醫院食物沒毒，請病人不必多想","護理師直接食用以證明食物沒有毒","A",null,[],"本題考點為妄想症病人拒食(被下毒妄想)的護理措施。考點在於辨識「固定護理師以培養信任」為最適切,故選A。依治療性人際關係原則,穩定、一致的照顧者可降低猜疑、逐步建立信任,是處理被害妄想的基礎,故A正確。B「扶手餵食」錯在侵入病人身體界線,反而加深被控制與被害感。C「保證食物沒毒、請病人別多想」錯在直接否定妄想並要求病人放下,違反不爭辯原則。D「護理師直接吃給病人看」錯在企圖以證據駁斥妄想,妄想不受邏輯說服,反易被解讀為只有那份沒毒,徒增猜疑。","拒食的被害妄想處理鏈:先建立信任(固定人員、態度一致)、再降低猜疑(可讓病人選擇未開封或自行取用的食物、共餐情境),而非以邏輯或證據對抗妄想。核心原則仍是「不強化、不否定、不爭辯」。B與D都犯了「試圖用行動證明妄想為假」的錯,C犯了「用語言說服」的錯——三者都是在跟妄想內容較勁。營養與安全層面可透過提供包裝完整、可自主選擇的食物來間接改善進食,兼顧生理需求與心理安全感。",[24,27,30,32],{"term":25,"count":26},"治療性人際關係",12,{"term":28,"count":29},"不爭辯妄想",2,{"term":31,"count":10},"被害妄想拒食",{"term":33,"count":10},"固定照顧者建立信任",[35,39,43,48,53,58],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-110-1-psychiatric-community-017","鬱症發作（depressive episode）的典型臨床特徵，下列何者較適當？",17,{"webId":40,"stem":41,"number":42,"year":9,"session":29},"nurse-110-2-psychiatric-community-033","運用簡易心智量表（Mini-Mental State Examination, MMSE）評估老年人精神狀態，下列何者不是其評估的功能表現？",33,{"webId":44,"stem":45,"number":46,"year":47,"session":10},"nurse-111-1-psychiatric-community-047","針對 200 位民眾進行慢性腎臟病篩檢，發現原本有 40 位慢性腎臟病患者經篩檢後 20 位呈陽性，而原本 160 位健康者經篩檢後有 140 位呈陰性，此次篩檢工具的敏感性（sensitivity）為何？",47,111,{"webId":49,"stem":50,"number":51,"year":52,"session":29},"nurse-112-2-psychiatric-community-005","有關抗精神病藥物的敘述，下列何者正確？",5,112,{"webId":54,"stem":55,"number":56,"year":57,"session":29},"nurse-113-2-psychiatric-community-029","有關疾病的流行情形，下列敘述何者最適當？",29,113,{"webId":59,"stem":60,"number":61,"year":62,"session":63},"nurse-114-3-psychiatric-community-023","李先生，診斷思覺失調症（schizophrenia），初住院期間頻找女病友聊天，聲稱自己是木星上的王子降落地球，病房中的女病友皆是他的嬪妃。下列何項護理措施最適當？",23,114,3,"2026-09-04",1788510722532]