[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-111-1-psychiatric-community-021":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":37,"lastmod":65},"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-021","nurse-111-1-psychiatric-community-021",111,1,21,"李小姐因強迫症住院，今日母親探視時又因李小姐的強迫症狀而有爭執，母親離去後李小姐顯得焦躁不安。下列何種說法最有助於協助病人覺察自己的焦慮與行為間的關聯性？",{"A":14,"B":15,"C":16,"D":17},"可不可以多告訴我，妳對強迫症的看法？","沒有人是完美的，妳的強迫症狀是正常的。","我看到妳在咬指甲和走來走去，妳現在覺得怎麼樣？","妳很緊張吧，我們來聽音樂消除焦慮。","C",null,[],"本題考點為協助病人覺察焦慮與行為關聯的治療性溝通。要幫助病人建立情緒與行為的連結，最有效的方式是客觀描述所觀察到的具體行為，再邀請病人說出當下感受，讓其自行覺察兩者關係，C 以「我看到妳在咬指甲和走來走去，妳現在覺得怎麼樣？」正是此種觀察加開放式提問，故選 C。A 詢問對強迫症的看法偏向認知探討，未連結當下的行為與情緒。B 說症狀是正常的屬不當保證，且淡化問題無助覺察。D 直接下判斷「妳很緊張」並立即轉移去聽音樂，替病人貼標籤又迴避了自我覺察的過程。","治療性溝通中「陳述觀察（making observations）」是促進自我覺察的有力技巧：以不帶評價的方式反映病人可見的行為（咬指甲、來回踱步），再以開放式問句邀請其表達內在狀態，能引導病人把外在行為與內在焦慮連結起來。相對地，虛假保證（false reassurance）、給建議或替病人命名情緒都會阻斷其自我探索。可連結焦慮的行為表徵、開放式提問與反映技巧，以及強迫症以儀式行為緩解焦慮的機轉。記憶重點：先客觀描述看到什麼，再問感受如何，把覺察權交還病人。",[24,27,30,33,35],{"term":25,"count":26},"治療性溝通",46,{"term":28,"count":29},"自我覺察",7,{"term":31,"count":32},"避免虛假保證",2,{"term":34,"count":10},"陳述觀察",{"term":36,"count":10},"開放式提問",[38,42,46,51,56,61],{"webId":39,"stem":40,"number":41,"year":9,"session":10},"nurse-111-1-psychiatric-community-022","根據 DSM-5 診斷準則，有關反社會人格（Antisocial Personality Disorder）的敘述，下列何者最不適當？",22,{"webId":43,"stem":44,"number":45,"year":9,"session":32},"nurse-111-2-psychiatric-community-038","陳女士，診斷為思覺失調症，因擅自停藥致病情復發，已入院治療一個月，預計下週辦理出院，有關出院準備的護理措施，下列何者最適當？",38,{"webId":47,"stem":48,"number":49,"year":50,"session":10},"nurse-112-1-psychiatric-community-052","依據羅斯（Ross）的社區種類，糖尿病病友團體是屬於那一種社區？",52,112,{"webId":52,"stem":53,"number":54,"year":55,"session":10},"nurse-113-1-psychiatric-community-040","顧先生原為一家之主，因病辭職在家休養，現由妻子支撐全家開銷並成為家中主要經濟決策者，下列何者最符合其家庭權力類型？",40,113,{"webId":57,"stem":58,"number":59,"year":60,"session":32},"nurse-114-2-psychiatric-community-044","依據勞工健康保護規則，職場醫護人員及勞工健康服務相關人員臨場辦理勞工健康服務事項，下列何者最不適當？",44,114,{"webId":62,"stem":63,"number":45,"year":64,"session":10},"nurse-106-1-psychiatric-community-038","關於自殺（suicide）的敘述，下列何者正確？",106,"2026-09-04",1788510736341]