[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-110-1-psychiatric-community-024":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-024","nurse-110-1-psychiatric-community-024",110,1,24,"護理師在精神科急性病房照顧王老先生期間，王老先生常表示她就像是自己的女兒一樣，並以「女兒」稱呼護理師。對此狀況之解釋，下列敘述何者較適當？",{"A":14,"B":15,"C":16,"D":17},"病人對護理師發生情感轉移","病人有假性痴呆症之變化","這是一般老人對人親切之稱謂","這表示病人對護理師極高之評價","A",null,[],"本題考點為治療性關係中的情感轉移(transference)。考點在於辨識病人把過往重要關係的情感投射到護理師身上,故選A。依精神分析概念,轉移是病人將對生命中重要他人(如女兒)的情感、期待與互動模式,不自覺地移置到治療者身上,老先生稱護理師為「女兒」正屬此現象,故A正確。B「假性痴呆」錯在那指憂鬱造成的認知功能表面退化,與稱謂投射無關。C「一般老人親切稱謂」錯在忽略其背後的情感投射意義,將專業現象淡化為社交禮貌。D「對護理師極高評價」錯在誤讀為單純讚賞,未辨識出情感轉移的心理機轉。","轉移(transference)與反轉移(countertransference)是治療性關係的核心概念:前者是病人把舊有情感投射到治療者;後者是治療者把自身情感投射回病人。辨識轉移的意義在於——它可作為理解病人內在關係模式的窗口,護理師須自我覺察、維持專業界線,不被投射的角色牽引(例如真的扮演起女兒)。對比假性痴呆(pseudodementia):那是老年憂鬱表現出的可逆性認知減退,鑑別點在情緒低落先於認知問題、對答常說「不知道」。本題以C、D兩個「常識化、淡化」的干擾選項考驗是否能用專業概念命名現象。",[24,27,30,32],{"term":25,"count":26},"治療性人際關係",12,{"term":28,"count":29},"情感轉移transference",2,{"term":31,"count":10},"投射重要他人情感",{"term":33,"count":10},"與假性痴呆鑑別",[35,39,43,48,53,58],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-110-1-psychiatric-community-025","依據 DSM-5 所訂定之標準，物質使用障礙症（substance use disorders）中，有關耐受性（tolerance）的敘述，下列何者正確？",25,{"webId":40,"stem":41,"number":42,"year":9,"session":29},"nurse-110-2-psychiatric-community-041","有關健全健康照護體系的主要目的，下列何者錯誤？",41,{"webId":44,"stem":45,"number":46,"year":47,"session":10},"nurse-111-1-psychiatric-community-055","衛生福利部國民健康署透過各類媒體進行大腸癌防治宣導，鼓勵民眾定期做大腸癌篩檢，是屬於下列何種衛生教育方法？",55,111,{"webId":49,"stem":50,"number":51,"year":52,"session":29},"nurse-112-2-psychiatric-community-013","下列有關精神疾病盛行率的敘述，何者正確？",13,112,{"webId":54,"stem":55,"number":56,"year":57,"session":29},"nurse-113-2-psychiatric-community-037","社區護理師欲進行校園肺結核護理指導，下列何項主題較符合第一段預防的概念？",37,113,{"webId":59,"stem":60,"number":61,"year":62,"session":63},"nurse-114-3-psychiatric-community-031","護理師在某社區執行獨居老人關懷計畫後，評值使用人力、物力和財力的使用狀況，是屬於何種評值？",31,114,3,"2026-09-04",1788510722617]