[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-110-1-psychiatric-community-020":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"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-020","nurse-110-1-psychiatric-community-020",110,1,20,"病人因反覆出現強迫性思考及持續洗手的行為，而入院治療，下列敘述何者較適當？",{"A":14,"B":15,"C":16,"D":17},"病人的強迫性思考內容常為無意義的","護理目標以直接中止病人的洗手症狀為最優先考量","洗手行為是病人藉此內射出其內在強迫性思考的手段","須評估病人自我傷害的可能性，必要時可戴手套洗手","D",null,[],"本題考點為強迫症(OCD)病人的護理與症狀概念。考點在於辨識「須評估自我傷害可能、必要時可戴手套洗手」為較適當,故選D。依護理安全原則,反覆洗手可能造成皮膚破損甚至自傷,須評估自傷風險並以戴手套等方式減害,故D正確。A錯在強迫思考內容對病人而言充滿威脅意義且引發焦慮,並非病人主觀認為無意義。B錯在直接強制中止儀式行為會使焦慮急遽升高,不應作為最優先目標,而應漸進減敏。C錯在洗手屬強迫行為(compulsion),是為中和焦慮而做,並非以「內射」機轉表現,概念套錯。","OCD結構:強迫思考(obsession,反覆入侵、引發焦慮的念頭)加強迫行為(compulsion,為降低焦慮而執行的儀式)。行為療法以暴露不反應法(ERP)為主——讓病人暴露於誘發焦慮的刺激卻不做儀式,焦慮自然消退。護理上不可粗暴打斷儀式(會使焦慮爆發),而是建立信任後漸進限制,並優先確保安全(皮膚完整、自傷風險)。選項C的陷阱在於用防衛機轉名詞「內射」硬套洗手行為,實則強迫行為的本質是「中和\u002F抵消焦慮」而非內射。掌握「先安全、後減敏」即可解題。",[24,27,29,31],{"term":25,"count":26},"自傷風險評估",2,{"term":28,"count":10},"強迫症obsession與compulsion",{"term":30,"count":10},"暴露不反應法ERP",{"term":32,"count":10},"漸進減敏",[34,38,42,47,52,57],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-110-1-psychiatric-community-021","有關創傷後壓力症（post-traumatic stress disorder; PTSD）病人的治療處置，下列何者較適當？",21,{"webId":39,"stem":40,"number":41,"year":9,"session":26},"nurse-110-2-psychiatric-community-037","臨床護理人員面對病人暴力行為時的心理反應與態度，下列敘述何者正確？",37,{"webId":43,"stem":44,"number":45,"year":46,"session":10},"nurse-111-1-psychiatric-community-051","下列何種評價是在計畫執行完成後，用以衡量該計畫的價值？",51,111,{"webId":48,"stem":49,"number":50,"year":51,"session":26},"nurse-112-2-psychiatric-community-009","依據卡普蘭（Caplan）危機理論的敘述，下列何者較適切？",9,112,{"webId":53,"stem":54,"number":55,"year":56,"session":26},"nurse-113-2-psychiatric-community-033","在社區健康評估的方法中，擋風玻璃式調查（windshield survey）的敘述，下列何者正確？",33,113,{"webId":58,"stem":59,"number":60,"year":61,"session":62},"nurse-114-3-psychiatric-community-027","下列何者是衛生福利部推動長期照護十年計畫 2.0 的主責單位？",27,114,3,"2026-09-04",1788510722579]