[{"data":1,"prerenderedAt":62},["ShallowReactive",2],{"q-nurse-111-1-psychiatric-community-032":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"lastmod":61},"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-032","nurse-111-1-psychiatric-community-032",111,1,32,"承上題，張先生懷疑家中地契被媳婦偷。下列何項護理措施最適當？",{"A":14,"B":15,"C":16,"D":17},"跟張先生澄清：「沒有人會拿您的地契，不用擔心。」","請媳婦向張先生解釋自己並未拿取地契","對張先生說：「你最喜歡的戶外散步時間到了，我們一起去戶外散步！」","請張先生最信任的女兒或兒子到院幫忙安撫","C",null,[],"本題考點在失智症被竊妄想的溝通處置。依失智症照護原則，對妄想不宜正面爭辯或試圖說服，而應運用「轉移注意力」與同理陪伴來降低焦慮，故以「最喜歡的戶外散步時間到了，我們一起去」轉移情緒最適當，選 C。考點在於辨識妄想處置採轉移而非駁斥。A 直接澄清「沒有人會拿」是與妄想正面對質，會引發防衛與更堅信；B 請媳婦解釋反而使被指控者成焦點、加深對立與猜疑；D 找信任的子女安撫雖較溫和，但仍圍繞妄想主題、未必能中止，且不如轉移注意力直接有效。故選 C。","失智者的妄想多源於記憶缺損與定向障礙下的『合理化填補』，缺乏現實檢驗能力，故邏輯說服無效且易升高激動。照護策略核心為『不爭辯、不強化、給安全感』：以同理接住情緒、再用其偏好的活動轉移焦點（distraction）。此與思覺失調症妄想處置相通——不否定亦不附和，聚焦感受。口訣：『妄想不辯論，同理加轉移』。",[24,27,30,32],{"term":25,"count":26},"轉移注意力",3,{"term":28,"count":29},"不爭辯原則",2,{"term":31,"count":10},"失智症妄想處置",{"term":33,"count":10},"同理與情緒安撫",[35,39,43,48,52,57],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-111-1-psychiatric-community-033","有關輕度失智症病人的護理措施，下列何者最適當？",33,{"webId":40,"stem":41,"number":42,"year":9,"session":29},"nurse-111-2-psychiatric-community-049","根據資料顯示，出血型登革熱的病例中有 15～50%會死亡。15～50%代表的意義為何？",49,{"webId":44,"stem":45,"number":46,"year":47,"session":10},"nurse-112-1-psychiatric-community-063","有關家庭資源的敘述，下列何者正確？①經濟資源、教育資源和環境資源皆是重要的家庭內在資源 ②太太出國工作，先生在國內身兼母職處理家務和照顧子女，顯示家庭具有良好的結構支持 ③防滑磁磚、扶手和緊急鈴等硬體結構因中風家人的需要而裝設，顯示結構支持佳",63,112,{"webId":49,"stem":50,"number":10,"year":51,"session":29},"nurse-113-2-psychiatric-community-001","蕭女士，已婚，先生因失業長期酗酒。今日因細故酒後毆打蕭女士，致頭部受創，血流不止，由警察及社工護送至急診。下列護理措施何者最優先？",113,{"webId":53,"stem":54,"number":55,"year":56,"session":26},"nurse-114-3-psychiatric-community-005","有關特定場所畏懼症，下列敘述何者最不適當？",5,114,{"webId":58,"stem":59,"number":42,"year":60,"session":10},"nurse-106-1-psychiatric-community-049","致病模式中之網狀模式較適合用來解釋何種疾病的特性？",106,"2026-09-04",1788510736444]