[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-111-1-psychiatric-community-007":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"lastmod":63},"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":11},"nurse-111-1-精神科與社區衛生護理學-007","nurse-111-1-psychiatric-community-007",111,1,7,"承上題，陳護理師與新病人接觸前，宜優先進行下列何項措施？",{"A":14,"B":15,"C":16,"D":17},"隱藏自己內心的焦慮與生氣","請護理長改由其他護理師接此病人","自我覺察這類診斷的病人會讓自己感到不適","自己與病人接觸時不能有任何情緒","C",null,[],"本題考點為護理師出現負向反轉移時的優先處置。反轉移的處理核心是「自我覺察」，唯有先辨識並承認自己因此類診斷而感到不適，才能避免情緒干擾護病關係、維持專業界限，故優先措施選 C。A 隱藏內心焦慮與生氣只是壓抑，未處理根源，情緒仍會外洩影響互動。B 直接請他人接手是逃避，錯失自我成長且非首要之舉。D 要求自己接觸病人時不能有任何情緒並不切實際，人皆有情緒，重點在覺察與管理而非壓制歸零。","處理反轉移的步驟依序為：自我覺察、接納情緒的存在、尋求督導或同儕討論、必要時調整照護安排。自我覺察是起點也是最關鍵的一步，因未被意識到的情緒最具破壞性；覺察後才能運用自我（therapeutic use of self）將個人反應轉為理解病人的線索。壓抑（選項 A）與否認情緒（選項 D）皆屬不成熟的因應，長期反而耗竭。可連結專業界限、督導制度與護理師自我照顧。記憶重點：面對反轉移，先「看見自己」再談其他。",[24,26,28,30,32],{"term":25,"count":11},"自我覺察",{"term":27,"count":10},"反轉移處理",{"term":29,"count":10},"治療性運用自我",{"term":31,"count":10},"專業界限",{"term":33,"count":10},"督導",[35,39,44,49,54,59],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-111-1-psychiatric-community-008","護理師在病房照護病人，經常會應用行為治療協助病人行為改變，下列敘述何者最適當？",8,{"webId":40,"stem":41,"number":42,"year":9,"session":43},"nurse-111-2-psychiatric-community-024","下列有關急性壓力症（acute stress disorder）的敘述，何者錯誤？",24,2,{"webId":45,"stem":46,"number":47,"year":48,"session":10},"nurse-112-1-psychiatric-community-038","有關社區中慢性精神病人罹患代謝症候群的生理健康監測，不包括下列何者？",38,112,{"webId":50,"stem":51,"number":52,"year":53,"session":10},"nurse-113-1-psychiatric-community-026","有關基層醫療保健之社區與醫療服務原則，下列何者最不適當？",26,113,{"webId":55,"stem":56,"number":57,"year":58,"session":43},"nurse-114-2-psychiatric-community-030","有關致病模式中輪狀模式的敘述，下列何者最適當？",30,114,{"webId":60,"stem":61,"number":42,"year":62,"session":10},"nurse-106-1-psychiatric-community-024","有關躁症發作（manic episode）的臨床特徵，下列何者正確？①活動量增加 ②意念飛躍 ③體重增加 ④注意力分散",106,"2026-09-04",1788510736178]