[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-111-1-psychiatric-community-013":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":10},"nurse-111-1-精神科與社區衛生護理學-013","nurse-111-1-psychiatric-community-013",111,1,13,"有關現實治療的描述，下列敘述何者最適當？",{"A":14,"B":15,"C":16,"D":17},"可藉由正當、責任與現實來有效管理個人的生活","運用面質技巧，矯正個案的錯誤認知","重視過去的探討，而非此時此刻和未來","運用潛意識引導，協助認識自我的需求","A",null,[],"本題考點為現實治療（reality therapy）的核心理念。Glasser 提出的現實治療強調個人能藉由「正當、責任與現實」三原則來有效管理自己的生活，聚焦當下行為與選擇、為自己的行為負責，故 A 最為適當，選 A。B 錯，運用面質矯正錯誤認知較屬認知治療的手法。C 錯，現實治療重視「此時此刻與未來」的行為選擇，而非探討過去。D 錯，運用潛意識引導以認識自我需求屬心理分析取向，與現實治療聚焦意識層面的責任選擇不符。","現實治療由 William Glasser 發展，奠基於選擇理論（choice theory），主張人的行為是為滿足生存、愛與歸屬、權力、自由、樂趣五大基本需求所做的選擇；治療焦點在當下能改變的行為，協助個案評估現行選擇是否有效、並為滿足需求做出負責任的新選擇。三個 R 為 Right（正當）、Responsibility（責任）、Reality（現實）。與心理分析（重過去、潛意識）成強烈對比。可連結 WDEP 系統（Wants、Doing、Evaluation、Planning）。記憶口訣：現實治療談當下、重責任、做選擇。",[24,26,28,30,32],{"term":25,"count":10},"現實治療",{"term":27,"count":10},"Glasser 選擇理論",{"term":29,"count":10},"三R 正當責任現實",{"term":31,"count":10},"此時此刻",{"term":33,"count":10},"WDEP 系統",[35,39,44,49,54,59],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-111-1-psychiatric-community-014","對慢性思覺失調症且功能退化病人的照護，護理師指導家屬的照護病人的措施，下列何者正確？ ①直接幫病人做日常生活上的照顧，又快又好 ②宜採漸進式訓練 ③需要耐性予以接納與訓練 ④配合獎賞引發學習動機",14,{"webId":40,"stem":41,"number":42,"year":9,"session":43},"nurse-111-2-psychiatric-community-030","有關與神經障礙症兒童溝通，下列何者最不適當？",30,2,{"webId":45,"stem":46,"number":47,"year":48,"session":10},"nurse-112-1-psychiatric-community-044","有關登革熱防治的敘述，下列何者最適宜？①埃及斑蚊多於夜間活動 ②布氏指數是指調查 100 戶住宅，發現有登革熱病媒蚊幼蟲孳生陽性容器數 ③登革病毒可透過懷孕母親，垂直傳染給胎兒 ④屬於第三類傳染病，應於 48 小時內通報 ⑤國內尚未有登革熱疫苗核准上市",44,112,{"webId":50,"stem":51,"number":52,"year":53,"session":10},"nurse-113-1-psychiatric-community-032","社區護理師完成社區健康診斷之後，想瞭解社區對問題的瞭解與解決問題的動機，下列何種方式最適合？",32,113,{"webId":55,"stem":56,"number":57,"year":58,"session":43},"nurse-114-2-psychiatric-community-036","護理師在社區篩檢發現疑似大腸癌個案，通知個案，並進行轉介及後續處理，所扮演角色，下列何者最適當？",36,114,{"webId":60,"stem":61,"number":42,"year":62,"session":10},"nurse-106-1-psychiatric-community-030","護理師對於經歷大地震的青少年進行支持性團體治療，提供一本書籍介紹關於個人如何經過地震的恐懼而學習面對和處理自己的創傷經驗，邀請大家在閱讀後於團體分享對故事人物的看法和感受。此種處置是應用下列何種治療？",106,"2026-09-04",1788510736230]