[{"data":1,"prerenderedAt":62},["ShallowReactive",2],{"q-nurse-111-2-psychiatric-community-001":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-111-2-精神科與社區衛生護理學-001","nurse-111-2-psychiatric-community-001",111,2,1,"倪女士，29 歲，程式工程師，輕躁症發作（hypomanic episode）。「我都有按照醫生的交代認真吃藥，為什麼還會發病？」護理師說：「你覺得很挫折，覺得自己很認真的吃藥卻還是發病」，此時護理師所運用的溝通技巧，下列何者最適當？",{"A":14,"B":15,"C":16,"D":17},"反映","鼓勵比較","面質","提出懷疑","A",null,[],"本題考點為治療性溝通技巧中的「反映(reflection)」。反映是護理師將病人所表達的情緒與感受重述回去,幫助病人覺察自己的情緒。題中護理師說「你覺得很挫折,覺得自己很認真吃藥卻還是發病」,正是將病人隱含的挫折感受重述反饋,屬反映技巧,故答案為 A。B 鼓勵比較是引導病人比較不同經驗或情境的異同,題中未涉及比較;C 面質是指出病人言行不一致之處,題中並無指出矛盾;D 提出懷疑是對病人不合現實的想法表達存疑,題中護理師是同理而非質疑。考點在於辨識「重述情緒感受」對應反映,而非比較、面質或懷疑。","反映聚焦於情感層面,將病人的情緒『照鏡子』般反饋以促進自我覺察,與『重述(restating)』偏重複述內容不同。治療性溝通技巧常考對比:同理是理解感受、澄清是釐清模糊訊息、面質是指出矛盾、聚焦是引導集中主題。反映關鍵字為情緒詞(挫折、生氣、難過)的回饋。",[24,27,30,32],{"term":25,"count":26},"治療性溝通",46,{"term":28,"count":29},"自我覺察",7,{"term":31,"count":10},"反映技巧",{"term":33,"count":11},"情緒回饋",[35,38,43,47,52,57],{"webId":36,"stem":37,"number":10,"year":9,"session":10},"nurse-111-2-psychiatric-community-002","精神復健機構的資深護理師協助病人接受「強制社區治療」的工作項目中，下列何者正確？①藥物治療 ②藥物之依賴性評估 ③藥物之血液檢驗 ④藥物之尿液濃度檢驗 ⑤酒精篩檢 ⑥放射性藥物檢驗",{"webId":39,"stem":40,"number":41,"year":42,"session":11},"nurse-112-1-psychiatric-community-018","有關思覺失調症病人之負性精神症狀，下列何者最適切？",18,112,{"webId":44,"stem":45,"number":46,"year":42,"session":10},"nurse-112-2-psychiatric-community-032","關於譫妄及失智症，下列敘述何者最適切？",32,{"webId":48,"stem":49,"number":50,"year":51,"session":10},"nurse-113-2-psychiatric-community-050","社區護理師進行居家訪視為張先生測量血壓，血壓值為 190\u002F98 mmHg，張先生表示頭痛、視力模糊，下列護理處置何者最適當？",50,113,{"webId":53,"stem":54,"number":55,"year":56,"session":11},"nurse-115-1-psychiatric-community-004","病人是20歲大學重考生，從小備受呵護寵愛長大，個性內向順從，成績中等。指考失利後，出現心情低落、胃口差、失眠等症狀，醫師診斷為鬱症，住院治療 2 週後，父母認為病人需要重回補習班接受鞭策，因此辦理自動出院，病人出院後出現自殺企圖。下列敘述何者最適宜？",4,115,{"webId":58,"stem":59,"number":41,"year":60,"session":10},"nurse-106-2-psychiatric-community-018","譫妄病人最常出現的幻覺為下列何者？",106,"2026-09-04",1788510739729]