[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-110-2-psychiatric-community-003":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":35,"lastmod":62},"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-110-2-精神科與社區衛生護理學-003","nurse-110-2-psychiatric-community-003",110,2,3,"面對有自傷意念的憂鬱症病人，下列敘述何者最符合治療性溝通行為？",{"A":14,"B":15,"C":16,"D":17},"「憂鬱症應該可以治好的，不要擔心。」","「我認為你應該辭職，專心養病才對。」","「想要自殺的人，都在逃避負責任。」","「你對目前自己的狀況，不是很滿意。」","D",null,[],"本題考點在治療性溝通的核心技巧「反映與同理」。依治療性溝通原則，面對有自傷意念者，護理師應以不批判、不保證、不建議的態度反映對方的感受，讓病人被理解。選項D「你對目前自己的狀況，不是很滿意」屬於反映情緒的陳述，開放且不強加價值判斷，最符合治療性溝通，故選D。A給予虛假保證，否定病人痛苦，屬非治療性溝通；B替病人做人生決定，逾越角色界線並灌輸個人意見；C帶有道德批判與汙名化，會加深病人罪惡感與孤立，皆違反接納、無條件積極關懷的原則。","治療性溝通四大地雷可用「保證、建議、批判、轉移」記憶：虛假保證(A)、替人決定(B)、道德批判(C)都會關閉對話。反映(reflection)與同理(empathy)是Peplau人際關係理論的實踐，先接住情緒再談問題。憂鬱症合併自傷意念者需的是被聽見，而非被說教。可連結：Peplau護病關係四期、無條件積極關懷(Rogers)、自殺風險評估SAD PERSONS量表。",[24,27,30,32],{"term":25,"count":26},"治療性溝通",46,{"term":28,"count":29},"同理心",4,{"term":31,"count":10},"反映技巧",{"term":33,"count":34},"虛假保證的非治療性溝通",1,[36,39,44,48,53,57],{"webId":37,"stem":38,"number":29,"year":9,"session":10},"nurse-110-2-psychiatric-community-004","吳女士，診斷思覺失調症，坐在餐桌前，不斷以手拍打桌子，口中喊著說：「怎麼這麼多蟑螂，快來幫忙打蟑螂。」雖然護理師告訴她沒有蟑螂在桌上，但她仍堅持桌上看到許多蟑螂。此為下列何種精神症狀？",{"webId":40,"stem":41,"number":42,"year":43,"session":34},"nurse-111-1-psychiatric-community-020","承上題，有關提供小君的護理措施，下列何者最適當？",20,111,{"webId":45,"stem":46,"number":47,"year":43,"session":10},"nurse-111-2-psychiatric-community-034","有關社區心理衛生的敘述，下列何者最適當？",34,{"webId":49,"stem":50,"number":51,"year":52,"session":10},"nurse-112-2-psychiatric-community-072","根據長期照顧十年計畫 2.0，有關小規模多機能的服務項目，下列敘述何者最不適當？",72,112,{"webId":54,"stem":55,"number":26,"year":56,"session":11},"nurse-113-3-psychiatric-community-046","82 歲潘老太太，身體衰弱需女兒協助日常生活照顧，但女兒白天通勤及上班時間共約 10 小時，無法配合日間照顧中心的服務時段，但女兒仍希望媽媽白天能接受長期照顧服務，下列何項社區式長照服務最適當？",113,{"webId":58,"stem":59,"number":60,"year":61,"session":34},"nurse-115-1-psychiatric-community-040","有關家庭的成長性和情境性危機敘述，下列何者正確？①成長性危機通常是可預測的      ②情境性危機是專指負向事件   ③中頭彩可能造成家庭的情境性危機   ④外派進修屬成長性危機",40,115,"2026-09-04",1788510730424]