[{"data":1,"prerenderedAt":68},["ShallowReactive",2],{"q-nurse-111-1-psychiatric-community-035":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":37,"lastmod":67},"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-035","nurse-111-1-psychiatric-community-035",111,1,35,"病人跟護理師說：「我好想死！沒有她，我真的活不下去。」下列何項護理措施最適當？",{"A":14,"B":15,"C":16,"D":17},"告訴病人「拜託，別那麼笨了，就為了一個女人」","病人現在正在情緒低落時，給他時間獨處冷靜後就會沒事","告訴病人「失去她，你心裡真不好受，要不要多談一些！」","這是失戀者常說的話，過一段時間就好了","C",null,[],"本題考點在自殺意念個案的治療性溝通。依自殺危機處置，面對表達死意的病人應直接、同理地回應情緒並鼓勵其多談，以評估自殺風險並建立連結，故「失去她，你心裡真不好受，要不要多談一些！」最適當，選 C。考點在於辨識同理反映與開放式邀請表達。A 責罵「別那麼笨」是評價與貶抑，會切斷溝通並增加羞愧；B 讓情緒低落者獨處冷靜忽略了自殺當下的高風險，反而危險；D 以「失戀常說、過陣子就好」淡化其痛苦，屬否定感受、低估風險。故選 C。","自殺風險評估須主動、直接詢問死意與計畫（詢問並不會誘發自殺，反而讓病人感到被理解）。治療性溝通以同理反映情緒、開放式邀請敘說為核心，避免說教、淡化或留人獨處。臨床原則：對高風險者維持不獨處、移除危險物、持續評估自殺意念、計畫與可行性（SLAP／自殺風險三要素）。口訣：『接情緒、問清楚、不獨處』；淡化與責備是溝通大忌。",[24,27,30,33,35],{"term":25,"count":26},"治療性溝通",46,{"term":28,"count":29},"自殺風險評估",7,{"term":31,"count":32},"開放式問句",6,{"term":34,"count":10},"自殺危機處置",{"term":36,"count":10},"同理反映",[38,42,47,52,57,63],{"webId":39,"stem":40,"number":41,"year":9,"session":10},"nurse-111-1-psychiatric-community-036","照顧精神護理之家的失智症住民，下列何項護理措施最適當？",36,{"webId":43,"stem":44,"number":45,"year":9,"session":46},"nurse-111-2-psychiatric-community-052","某社區糖尿病盛行率高但運動風氣不佳，社區護理師邀請奧運國手拍攝規律運動的宣導短片，引發社區動力。這是使用下列那一種方法？",52,2,{"webId":48,"stem":49,"number":50,"year":51,"session":10},"nurse-112-1-psychiatric-community-066","有關擬定原住民健康政策之敘述，下列何者最適宜？",66,112,{"webId":53,"stem":54,"number":55,"year":56,"session":46},"nurse-113-2-psychiatric-community-004","精神衛生工作的三級預防概念，下列何者屬於三級預防的工作內容？",4,113,{"webId":58,"stem":59,"number":60,"year":61,"session":62},"nurse-114-3-psychiatric-community-008","李先生的妻女在一次意外事件中相繼過世，有關李先生對此事件的心理調適防衛機轉，下列敘述何者最適當？",8,114,3,{"webId":64,"stem":65,"number":45,"year":66,"session":10},"nurse-106-1-psychiatric-community-052","關於 Hancock 及 Duhl 所提出健康城市的十一項品質，下列何者錯誤？",106,"2026-09-04",1788510736481]