[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-111-1-psychiatric-community-025":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-025","nurse-111-1-psychiatric-community-025",111,1,25,"王先生，診斷為廣泛性焦慮症，住院第一天顯得坐立不安、肌肉緊繃。有關此時會談的重點，下列何者最適當？",{"A":14,"B":15,"C":16,"D":17},"你以前緊張時都是怎麼處理的？","是否因為擔心工作的事而引起？","你和家人相處的狀況如何？","請你說說你現在覺得怎麼樣？","D",null,[],"本題考點在廣泛性焦慮症急性期的治療性溝通原則。依治療性人際關係理論，病人正處於高度焦慮、坐立不安、肌肉緊繃的狀態，此時應使用開放式問句，聚焦於當下的主觀感受，協助其宣洩情緒與建立信任，故「請你說說你現在覺得怎麼樣？」最適當，選 D。考點在於辨識高焦慮情境下的會談優先順序。A 詢問過去因應方式屬問題解決層次，焦慮高峰時病人難以理性回顧；B 直接歸因「工作」是護理師的假設，屬引導式封閉問句，可能誤導；C 轉向家庭關係偏離當下情緒焦點。故 D 最能反映此時會談重點。","急性焦慮者的認知窄化（cognitive narrowing）使其專注力下降、難以處理複雜訊息，因此會談應簡短、具體、聚焦此時此刻（here and now），先降低焦慮再深入探討成因。溝通技巧上，開放式問句促進表達、封閉式問句用於澄清事實；反映與同理則傳達被理解感。口訣：焦慮高峰先「安其心、聽其感」，待焦慮降至輕中度再探索誘因與因應策略。避免過早分析或給建議，以免增加病人壓力。",[24,27,30,33,35],{"term":25,"count":26},"治療性溝通",46,{"term":28,"count":29},"開放式問句",6,{"term":31,"count":32},"廣泛性焦慮症",2,{"term":34,"count":10},"此時此刻原則",{"term":36,"count":10},"認知窄化",[38,42,46,51,56,61],{"webId":39,"stem":40,"number":41,"year":9,"session":10},"nurse-111-1-psychiatric-community-026","有關評估假性失智症（pseudodementia）與失智症之臨床差異，下列何者正確？①假性失智症多半有比較清楚的發病時間 ②假性失智症常抱怨認知障礙 ③失智症行為與認知障礙的嚴重度吻合 ④失智症對問話老是回答「不知道」、「忘記了」",26,{"webId":43,"stem":44,"number":45,"year":9,"session":32},"nurse-111-2-psychiatric-community-042","依據傳染病致病三角模式，若要提升宿主的抵抗力，下列敘述何者最適當？①離開醫院要洗手 ②注射疫苗 ③攝取均衡飲食 ④保持規律運動 ⑤手部噴酒精",42,{"webId":47,"stem":48,"number":49,"year":50,"session":10},"nurse-112-1-psychiatric-community-056","根據渥太華憲章，科技公司設置運動教室讓員工使用，是屬於下列何項行動綱領？",56,112,{"webId":52,"stem":53,"number":54,"year":55,"session":10},"nurse-113-1-psychiatric-community-044","某校推動營養午餐計畫，期望減少全校體重過重學生人數，下列何者最適合做為評值計畫成果的指標？",44,113,{"webId":57,"stem":58,"number":59,"year":60,"session":32},"nurse-114-2-psychiatric-community-048","下列何者不屬於老人衰弱評估量表（Fried Frail Index）的內容？",48,114,{"webId":62,"stem":63,"number":45,"year":64,"session":10},"nurse-106-1-psychiatric-community-042","有關我國所推動之「厝邊好醫師，社區好醫院」區域共同照護網絡之敘述，下列何者錯誤？",106,"2026-09-04",1788510736369]