[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-110-2-psychiatric-community-028":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":35,"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-028","nurse-110-2-psychiatric-community-028",110,2,28,"有關物質使用障礙心理治療的敘述，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"此項治療多半在個案恢復期時執行，可疏導個案的內心問題","採用動機式晤談（motivational interview）法，以直接面質為治療的原則","通常與家庭及心理因素息息相關，故除了提供身體治療外，也應追索問題的根源","可疏導個案的內心問題，引導個案使用正向積極的方式發洩其內心的憤怒與不滿","B",null,[],"本題考點在物質使用障礙心理治療的原則，屬選錯誤者。依動機式晤談(motivational interviewing)的精神，治療強調同理、接納與引導個案自己探索改變動機，避免正面對質與爭辯，故選B「以直接面質為治療原則」為錯誤敘述。A心理治療多在恢復期執行以疏導內心問題，正確；C成癮常與家庭及心理因素相關，除身體治療外也應追溯問題根源，正確；D協助個案以正向積極方式疏導內在憤怒與不滿，符合治療目標，正確，皆為適當敘述。","動機式晤談四原則(RULE\u002FOARS精神)：表達同理、發展差距、避免爭辯(roll with resistance)、支持自我效能。核心是「引出而非灌輸」改變動機，直接面質反易引發抗拒。成癮治療需生理戒斷加心理與家庭介入並重。口訣「動機晤談不對嗆」。可連結：跨理論改變階段模式、同理、抗拒的處理、成癮生物心理社會模式。",[24,27,30,32],{"term":25,"count":26},"動機式晤談",4,{"term":28,"count":29},"物質使用障礙",3,{"term":31,"count":10},"面質",{"term":33,"count":34},"改變動機",1,[36,40,45,49,54,59],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-110-2-psychiatric-community-029","美沙冬（Methadone）本為麻醉性止痛劑，可替代嗎啡類藥物，以達到治療嗎啡類藥物成癮患者。下列敘述何者正確？",29,{"webId":41,"stem":42,"number":43,"year":44,"session":34},"nurse-111-1-psychiatric-community-045","下列那一項指標，最能反映一個國家的經濟負擔狀況？",45,111,{"webId":46,"stem":47,"number":48,"year":44,"session":10},"nurse-111-2-psychiatric-community-059","為社區民眾進行護理指導時，下列策略何者無法促進情意層面的改變？",59,{"webId":50,"stem":51,"number":52,"year":53,"session":29},"nurse-112-3-psychiatric-community-017","林同學，20 歲，上台報告時總是會極度恐懼或焦慮，也無法在公共場所用餐，平時會儘量避免與他人交談或互動。林同學最有可能的問題是下列何者？",17,112,{"webId":55,"stem":56,"number":57,"year":58,"session":34},"nurse-114-1-psychiatric-community-021","有關社區精神衛生護理評估的敘述，下列何者正確？",21,114,{"webId":60,"stem":61,"number":62,"year":63,"session":10},"nurse-115-2-psychiatric-community-015","林同學認為門把很髒，於碰觸門把之後要花 30 分鐘洗手，治療者讓林同學有意識的碰觸門把，再幫助林同學漸漸耐受不強迫洗手帶來的焦慮感，而學會控制與因應，為下列何項治療方法？",15,115,"2026-09-04",1788510730717]