[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-110-2-psychiatric-community-016":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":36,"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-110-2-精神科與社區衛生護理學-016","nurse-110-2-psychiatric-community-016",110,2,16,"林小姐入院診斷為憂鬱症，常向護理師表示自己做錯事害得父母離婚，又因為自己不夠好，所以男友跟她分手。下列何項回應最適當？",{"A":14,"B":15,"C":16,"D":17},"勸導她何必單戀一枝花，男友再找就有了，是他不懂林小姐的好","傾聽並同理她低自尊的感受，適時澄清其價值觀","告訴她事情都過去了，多參加外面的活動就好了","勸她不要再提父母離婚與她有關的想法","B",null,[],"本題考點在憂鬱症合併低自尊病人的治療性回應。依治療性溝通原則，面對將負面事件全歸咎於己的病人，護理師應先傾聽並同理其低自尊感受，再適時協助其澄清扭曲的價值觀，故選B最適當。A勸「男友再找就有」屬輕率安慰與轉移焦點，否定病人感受；C「事情過去了、多參加活動就好」是虛假保證與給建議，忽略當下情緒；D勸她「不要再提」壓抑並封閉了病人表達的空間，皆為非治療性溝通，無法處理其核心的自我價值扭曲。","憂鬱症的認知特徵是負向自動化思考與過度自責(個人化認知扭曲)。治療性回應先接納情緒(傾聽、同理)，建立安全後再協助辨識與澄清不合理歸因，呼應CBT精神。避免安慰劑式保證、給建議、壓抑話題三大地雷。口訣「先接情緒、再理認知」。可連結：低自尊、認知扭曲、同理、Beck認知三角。",[24,27,30,33],{"term":25,"count":26},"治療性溝通",46,{"term":28,"count":29},"憂鬱症",5,{"term":31,"count":32},"同理心",4,{"term":34,"count":35},"低自尊",1,[37,41,46,50,55,60],{"webId":38,"stem":39,"number":40,"year":9,"session":10},"nurse-110-2-psychiatric-community-017","有關病人於住院期間憂鬱症的照護，下列敘述何者正確？",17,{"webId":42,"stem":43,"number":44,"year":45,"session":35},"nurse-111-1-psychiatric-community-033","有關輕度失智症病人的護理措施，下列何者最適當？",33,111,{"webId":47,"stem":48,"number":49,"year":45,"session":10},"nurse-111-2-psychiatric-community-047","某社區共有 5,700 位居民運用某子宮頸癌篩檢工具，發現原本 2,500 名子宮頸癌的個案經篩檢後有 500 名呈現陽性，2,000 名呈現陰性；而原本 3,200 健康者經篩檢後有 1,600 名呈現陽性，另 1,600 名呈現陰性結果，此篩檢工具的陽性預測值為何？",47,{"webId":51,"stem":52,"number":29,"year":53,"session":54},"nurse-112-3-psychiatric-community-005","33 歲病人，躁症發作，午餐時間未用餐，護理師去叫病人吃飯，病人說：「房市我最懂，臺北、新北和竹北我都有置產買房，你叫我吃飯，我就送你一間房。」護理師說：「謝謝，你先告訴我，你要坐在那裡吃午餐？」此時護理師所運用的溝通技巧，下列何項最適宜？",112,3,{"webId":56,"stem":57,"number":58,"year":59,"session":35},"nurse-114-1-psychiatric-community-009","胡先生，診斷為思覺失調症，因不停將家中東西丟到大街上，哥哥予以制止，胡先生即要攻擊哥哥。剛入住急性病房治療，下列何者為最優先的護理處置？",9,114,{"webId":61,"stem":62,"number":54,"year":63,"session":10},"nurse-115-2-psychiatric-community-003","精神病人擅自離開精神照護機構，行蹤不明時，依據民國 111 年公布之精神衛生法，下列何者處置最適當？",115,"2026-09-04",1788510730580]