[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-110-2-psychiatric-community-019":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-110-2-精神科與社區衛生護理學-019","nurse-110-2-psychiatric-community-019",110,2,19,"沈女士為慢性精神病病人，平日都可依醫囑按時服用抗精神病藥物，但情緒仍常受幻聽干擾而時有波動，護理師提供的護理措施，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"同理病人的感受","詢問病人：「聲音說些什麼？」","直接向病人說：「不要胡思亂想！」","鼓勵運用可行之阻斷幻聽的方法","C",null,[],"本題考點在幻聽病人的護理措施，屬選錯誤者。依治療性溝通原則，對受幻聽困擾的病人，直接說「不要胡思亂想」是否定並批判其真實體驗，會使病人感到不被理解而更退縮，屬非治療性溝通，故選C為錯誤選項。A同理病人的感受，接納其困擾，是恰當的；B詢問「聲音說些什麼」有助評估幻聽內容與危險性(如命令式幻聽的自傷他傷風險)，屬正確評估;D鼓勵運用阻斷幻聽的方法(如聽音樂、與人交談、活動轉移)是有效的因應策略，皆為適當措施。","幻聽照護重點：接納情緒但不強化幻覺內容、評估是否為命令式幻聽(command hallucination)以判斷危險性、教導分心與阻斷技巧。否定式回應(「別亂想」)會關閉溝通。命令式幻聽須特別評估自傷他傷意圖。口訣「接感受、評內容、教阻斷」。可連結：聽幻覺、命令式幻聽、正性症狀、因應策略。",[24,27,30,32],{"term":25,"count":26},"治療性溝通",46,{"term":28,"count":29},"因應策略",3,{"term":31,"count":10},"幻聽",{"term":33,"count":10},"命令式幻聽",[35,39,45,49,54,59],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-110-2-psychiatric-community-020","憂鬱症病人常伴有退化行為而導致自我照顧能力缺失，護理師提供的相關護理措施，下列何者錯誤？",20,{"webId":40,"stem":41,"number":42,"year":43,"session":44},"nurse-111-1-psychiatric-community-036","照顧精神護理之家的失智症住民，下列何項護理措施最適當？",36,111,1,{"webId":46,"stem":47,"number":48,"year":43,"session":10},"nurse-111-2-psychiatric-community-050","根據三段五級疾病預防概念，下列何者屬於特殊保護的層級？①婚前健康檢查 ②均衡飲食 ③職場使用護具 ④疫苗接種 ⑤性教育",50,{"webId":50,"stem":51,"number":52,"year":53,"session":29},"nurse-112-3-psychiatric-community-008","有關抗精神病藥物（antipsychotics）副作用之處理，下列何者正確？",8,112,{"webId":55,"stem":56,"number":57,"year":58,"session":44},"nurse-114-1-psychiatric-community-012","陳同學19歲，出現怪異行為，診斷為思覺失調症。因為干擾鄰居被送至精神科急性病房住院。入院時，說自己沒有生病，吵著要出院回家。以下何項護理措施最適切？",12,114,{"webId":60,"stem":61,"number":62,"year":63,"session":10},"nurse-115-2-psychiatric-community-006","電氣痙攣療法（electroconvulsive therapy, ECT）的臨床適應症，下列選項何者較適當？①人格障礙症 ②對藥物治療無效的躁症 ③嚴重憂鬱症且自殺意念強烈 ④思覺失調症合併僵直症",6,115,"2026-09-04",1788510730602]