[{"data":1,"prerenderedAt":61},["ShallowReactive",2],{"q-nurse-111-2-psychiatric-community-003":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"lastmod":60},"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":11},"nurse-111-2-精神科與社區衛生護理學-003","nurse-111-2-psychiatric-community-003",111,2,3,"身為專業的精神衛生護理人員，對精神科病人應有的認識，下列敘述何者正確？①病人怪異的想法和行為，都是有目的、有意義的，且為滿足某個需要或溝通某種訊息而呈現出來 ②精神病人的導因，並非來自單一的病因，而是基因、生活、心理、社會，相互影響的結果 ③精神病人多半缺乏自信，無安全感、挫折忍受度或抗壓性低 ④一旦診斷為重度精神疾患，就難以治癒，故不需太多關注於病人的病態思想、情緒和行為，只需維持病人的基本生理照護即可",{"A":14,"B":15,"C":16,"D":17},"①②③","①②④","①③④","②③④","A",null,[],"本題考點為精神衛生護理人員對病人應有的正確認識。①病人怪異的想法與行為多有其目的與意義,為滿足需求或傳達訊息,符合精神動力觀點,正確;②精神疾病成因是基因、生活、心理、社會多因素相互影響,而非單一病因,正確;③精神病人常缺乏自信、無安全感、挫折忍受度低,符合臨床觀察,正確。故正確組合為①②③,即選項 A。④敘述「重度精神疾患難以治癒,不需關注病態思想情緒行為,只需維持基本生理照護」是錯誤且違反全人照護與復健理念的消極態度,任何含④的組合皆錯。考點在於辨識④的照護態度偏誤。","現代精神衛生強調生物-心理-社會模式與復元(recovery)取向,重度精神疾患經治療與復健仍可改善功能、回歸社區,護理應積極介入病人的認知、情緒與行為。放棄性照護(只顧生理)違背專業倫理與復元精神。病人的症狀行為視為有意義的溝通,是精神動力照護的基本假設。",[24,26,28,30],{"term":25,"count":11},"生物心理社會模式",{"term":27,"count":11},"全人照護",{"term":29,"count":10},"復元取向",{"term":31,"count":32},"精神衛生護理",1,[34,38,43,47,51,56],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-111-2-psychiatric-community-004","精神科醫師伯恩（Eric Berne）在溝通分析中，將人與人互動時彼此的人生地位分為四種型式。下列何者敘述屬於「我好－你不好型」？",4,{"webId":39,"stem":40,"number":41,"year":42,"session":32},"nurse-112-1-psychiatric-community-020","李小姐，因鬱症發作（Major Depressive Episode）住院，每天均表情愁苦、暗自垂淚。護理師問李小姐：「如果以 0 分到 10 分作評量，0 分是最低落，你目前是幾分？」李小姐回答 0 分。請問護理師正在執行下列何項護理評估？",20,112,{"webId":44,"stem":45,"number":46,"year":42,"session":10},"nurse-112-2-psychiatric-community-034","江先生為思覺失調症病人，出院返家後，常干擾社區居民，但不至於傷害他人，家屬表示病人不願意配合服藥與規律返診，照顧困難。依此情境，最適合提供江先生下列何種精神醫療服務？",34,{"webId":48,"stem":49,"number":10,"year":50,"session":11},"nurse-113-3-psychiatric-community-002","在執行精神病人保護約束時，護理人員告知每 15 分鐘會來探視病人，並確實按時探視，此符合下列那項倫理原則？",113,{"webId":52,"stem":53,"number":54,"year":55,"session":32},"nurse-115-1-psychiatric-community-006","有關第一代抗精神病藥物之敘述，下列何者正確？",6,115,{"webId":57,"stem":58,"number":41,"year":59,"session":10},"nurse-106-2-psychiatric-community-020","黃先生，診斷思覺失調症，表示自己是調查局南機組幹員，被派到公司臥底，最近他查到公司與某位政府高層有進行一項見不得光的交易，所以被下降頭，護理師的反應下列何者最適當？",106,"2026-09-04",1788510739751]