[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-111-1-psychiatric-community-014":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":36,"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-111-1-精神科與社區衛生護理學-014","nurse-111-1-psychiatric-community-014",111,1,14,"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",{"A":14,"B":15,"C":16,"D":17},"①②③","①②④","①③④","②③④","D",null,[],"本題考點為慢性思覺失調症功能退化病人的家屬照護指導。復能原則強調不代勞、採漸進式訓練、以耐性接納並配合獎賞誘發動機，故正確組合為②③④，選 D。①直接幫病人做好日常照顧看似又快又好，卻剝奪病人練習自理的機會、助長依賴、加速功能退化，違反復健「做他不能做的、讓他做他能做的」原則，故含①的選項皆不宜。②漸進式訓練符合逐步養成。③耐心接納與訓練契合慢性病人學習較慢的特性。④以獎賞引發學習動機呼應正向增強。","慢性思覺失調症的負性症狀（無動機、情感平淡、社會退縮）與認知缺損使自理與社會功能逐漸退化，復健核心在於「賦能」而非「代勞」。方法上結合社交技巧訓練、逐步養成、正向增強與代幣制，並要求照顧者具備耐性與合理期待，避免過度協助造成習得無助。表達性情緒（expressed emotion）過高的家庭環境會提高復發率，故家屬衛教也含情緒調節與溝通。可連結精神復健、日間照護與會所模式。記憶重點：凡「全部代勞、又快又好」在復健題幾乎必為陷阱。",[24,27,30,32,34],{"term":25,"count":26},"負性症狀",5,{"term":28,"count":29},"習得無助",2,{"term":31,"count":10},"思覺失調症復健",{"term":33,"count":10},"漸進式訓練",{"term":35,"count":10},"正向增強獎賞",[37,41,45,50,55,60],{"webId":38,"stem":39,"number":40,"year":9,"session":10},"nurse-111-1-psychiatric-community-015","根據 DSM-5 診斷準則，經期前情緒低落症（Premenstrual Dysphoric Disorder）的症狀，下列何者最不適當？",15,{"webId":42,"stem":43,"number":44,"year":9,"session":29},"nurse-111-2-psychiatric-community-031","針對譫妄病人的護理措施，下列何者正確？",31,{"webId":46,"stem":47,"number":48,"year":49,"session":10},"nurse-112-1-psychiatric-community-045","負責辦理原住民族及離島地區之部落社區健康營造補助計畫規劃及推動事項，為衛生福利部那一單位的業務？",45,112,{"webId":51,"stem":52,"number":53,"year":54,"session":10},"nurse-113-1-psychiatric-community-033","有關社區夥伴關係（community partnership）強調的原則，下列何者最不適當？",33,113,{"webId":56,"stem":57,"number":58,"year":59,"session":29},"nurse-114-2-psychiatric-community-037","下列何種細菌產生的毒素在高溫烹煮過後最不容易被破壞？",37,114,{"webId":61,"stem":62,"number":44,"year":63,"session":10},"nurse-106-1-psychiatric-community-031","關於青少年精神病人一般照護原則的描述，下列何者正確？",106,"2026-09-04",1788510736252]