[{"data":1,"prerenderedAt":61},["ShallowReactive",2],{"q-nurse-111-1-psychiatric-community-001":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"lastmod":60},"精神科與社區衛生護理學","psychiatric-community",{"id":7,"webId":8,"year":9,"session":10,"subject":4,"number":10,"stem":11,"options":12,"answer":17,"answerNote":18,"images":19,"explanation":20,"explanationDeep":21,"topics":22,"freq":25},"nurse-111-1-精神科與社區衛生護理學-001","nurse-111-1-psychiatric-community-001",111,1,"王奶奶，80 歲，因憂鬱症住院。低聲說：「我全身都壞了，兒子不孝順只想要我的財產而已。」護理師說：「妳是擔心自己的身體和財產嗎？」此時護理師所運用的溝通技巧為：",{"A":13,"B":14,"C":15,"D":16},"澄清","提出懷疑","鼓勵比較","面質","A",null,[],"本題考點為治療性溝通技巧的辨識。病人低聲說出對身體與財產的擔憂，語意較籠統，護理師以「妳是擔心自己的身體和財產嗎？」重述並確認自己理解是否正確，這正是「澄清」的定義，目的在把模糊訊息說清楚並核對含意，故選 A。B 提出懷疑是對病人陳述表達存疑以促其重新思考，本句並無質疑意味。C 鼓勵比較是引導病人比對不同經驗的異同，句中並未要求比較。D 面質是指出病人言行不一致以促其面對矛盾，語氣具挑戰性，與本句溫和核對的意圖不符。","治療性溝通中「澄清（clarification）」與相近技巧的分野在於意圖：澄清是核對意義、確保雙方理解一致，常用句型為「你的意思是不是……？」；反映（reflecting）是把情緒或內容回饋給病人；提出懷疑（voicing doubt）用於溫和挑戰妄想或不合理信念；面質（confrontation）則直指矛盾。憂鬱症病人常有的「我全身都壞了」屬慮病或虛無妄想的雛型，此時澄清能同理又不強化妄想。可連結 Hildegard Peplau 人際關係理論與治療性溝通的分類，考試常以情境對話考辨技巧命名。",[23,26,29,30,31],{"term":24,"count":25},"治療性溝通",46,{"term":27,"count":28},"澄清技巧",2,{"term":16,"count":28},{"term":14,"count":10},{"term":32,"count":10},"Peplau 人際關係理論",[34,37,41,46,51,56],{"webId":35,"stem":36,"number":28,"year":9,"session":10},"nurse-111-1-psychiatric-community-002","社區內舉辦新手媽媽講座，教導懷孕的身心變化相關課程，是屬於精神心理衛生工作中的那一級的預防？",{"webId":38,"stem":39,"number":40,"year":9,"session":28},"nurse-111-2-psychiatric-community-018","小菲，18 歲，診斷為思覺失調症。小菲雖有規則服藥，但是幻聽干擾時好時壞。父母打聽可以做電氣痙攣療法，因此詢問護理師的意見，下列何者回答最適當？",18,{"webId":42,"stem":43,"number":44,"year":45,"session":10},"nurse-112-1-psychiatric-community-032","與老年精神病人溝通時，下列何者最適宜？",32,112,{"webId":47,"stem":48,"number":49,"year":50,"session":10},"nurse-113-1-psychiatric-community-020","下列何者不屬於神經發展障礙症（neurodevelopmental disorders）的疾病？",20,113,{"webId":52,"stem":53,"number":54,"year":55,"session":28},"nurse-114-2-psychiatric-community-024","朱先生，罹患思覺失調症兩年多，此次因在屋內焚燒報紙，遭鄰居報警後，強制送醫治療。入病室後，突然走到護理站前，目光敵視、肌肉緊繃、用力拍打窗戶及踢護理站的門，大聲吼叫：「我沒有病，我要出去，不然我就砸破玻璃。」下列何者為暴力介入最優先處置？",24,114,{"webId":57,"stem":58,"number":40,"year":59,"session":10},"nurse-106-1-psychiatric-community-018","在病房中，丁小姐常進出男病人之病房，甚至躺在男病人床上，會對新進之實習醫師說：「我做你女朋友好不好？」對於丁小姐上述行為護理師最合宜的反應為：",106,"2026-09-04",1788510736116]