[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-111-1-psychiatric-community-023":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"lastmod":62},"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-023","nurse-111-1-psychiatric-community-023",111,1,23,"有關強迫症病人常使用的防衛機轉，下列何項較不適當？",{"A":14,"B":15,"C":16,"D":17},"隔離","反向","抵消","內射","D",null,[],"本題考點為強迫症病人常用防衛機轉的辨識，題目要選「較不適當」者。強迫症的典型防衛機轉為隔離、反向作用與抵消，用以處理內在無法接受的衝動與焦慮；內射（introjection）是將他人特質或價值納入自我，較常見於憂鬱症與哀傷反應，並非強迫症的典型機轉，故較不適當，選 D。A 隔離正確，將想法與其伴隨情感分開。B 反向正確，以相反的態度或行為掩飾真實衝動。C 抵消正確，以象徵性儀式行為抵銷令人不安的念頭。","強迫症的三大防衛機轉相互配合：隔離（isolation）把令人焦慮的念頭與情緒切開，使想法看似中性；反向作用（reaction formation）以相反行為（如過度整潔、過度禮貌）壓制被禁止的衝動；抵消（undoing）以重複儀式（洗手、檢查、數數）象徵性地取消或補償前一個令人不安的念頭。內射則是把外在客體特質吸收進自我，是憂鬱與認同形成的機轉。可連結強迫思考與強迫行為的焦慮緩解循環，以及各精神疾病常見防衛機轉的配對。記憶重點：強迫症想到「隔離、反向、抵消」三兄弟，內射屬憂鬱。",[24,27,28,30,32],{"term":25,"count":26},"反向作用",3,{"term":17,"count":26},{"term":29,"count":10},"強迫症防衛機轉",{"term":31,"count":10},"隔離",{"term":16,"count":10},[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-111-1-psychiatric-community-024","下列何種藥物，常用於治療強迫症病人的強迫行為？",24,{"webId":39,"stem":40,"number":41,"year":9,"session":42},"nurse-111-2-psychiatric-community-040","有關慢性精神病人四段七級健康促進模式的主要策略，下列何者正確？",40,2,{"webId":44,"stem":45,"number":46,"year":47,"session":10},"nurse-112-1-psychiatric-community-054","社區護理師推動「社區營養推廣中心」的服務後，發現參與者健康飲食習慣的比率增加，這是屬於下列何種評價？",54,112,{"webId":49,"stem":50,"number":51,"year":52,"session":10},"nurse-113-1-psychiatric-community-042","有關兒童口腔保健之護理指導，下列何者最不適當？",42,113,{"webId":54,"stem":55,"number":56,"year":57,"session":42},"nurse-114-2-psychiatric-community-046","78 歲吳爺爺，因糖尿病控制不佳導致雙下肢足部皮膚出現潰瘍傷口，行動不便，需每個月至醫院回診。有關吳爺爺可申請的長照資源，下列何者最不適當？",46,114,{"webId":59,"stem":60,"number":41,"year":61,"session":10},"nurse-106-1-psychiatric-community-040","章先生，因為非自願住院而要求出院，不斷的搖動大門門把、持續用力踹大門並喊：「讓我出去，不然要你們好看」，護理師經評估，認為須採取隔離措施。關於隔離措施，下列描述何項正確？",106,"2026-09-04",1788510736352]