[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-111-2-psychiatric-community-017":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"lastmod":62},"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-017","nurse-111-2-psychiatric-community-017",111,2,17,"楊小姐，52 歲，診斷為憂鬱症，向護理師抱怨：「請你告訴醫生吃藥讓我非常不舒服。」護理師的回答，下列何者最適當？",{"A":14,"B":15,"C":16,"D":17},"醫生是為了妳好，請妳多忍耐","醫生查房時，請妳直接跟醫生說","請再多描述是怎麼樣的不舒服","樂觀一點，妳很快就會好起來","C",null,[],"本題考點是治療性溝通技巧的辨識。依治療性溝通中「澄清(clarification)」與「鼓勵描述」原則,病人抱怨服藥不舒服時,護理師先請她具體描述不適內容,才能完整評估(可能是藥物副作用或其他問題)並作為後續處理依據,故 C 正確。A「醫生是為了妳好,請多忍耐」是說教與不當保證,忽視病人感受。B「請直接跟醫生說」是推諉、轉移責任,未先評估就把問題丟回給病人,錯失蒐集資料時機。D「樂觀一點,很快就會好」屬不切實際的再保證(false reassurance),否定病人的主觀不適,阻斷溝通。","非治療性溝通四大地雷口訣「保、教、諉、否」:不當保證(你會好起來的)、說教建議(你應該…)、推諉轉移(去跟醫生說)、否定感受(不會啦、想開點)。治療性技巧核心是「先評估、後處理」:開放式問句、澄清、反映、重述,把焦點留在病人身上。抗憂鬱劑(如 SSRI)初期常見噁心、頭痛等副作用,病人抱怨不適正是評估服藥順從度與副作用的關鍵時機,此為本題情境設計的臨床背景。",[24,27,29,32],{"term":25,"count":26},"治療性溝通技巧",3,{"term":28,"count":10},"澄清技巧",{"term":30,"count":31},"不切實際的再保證",1,{"term":33,"count":31},"護理評估優先原則",[35,39,44,48,53,58],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-111-2-psychiatric-community-018","小菲，18 歲，診斷為思覺失調症。小菲雖有規則服藥，但是幻聽干擾時好時壞。父母打聽可以做電氣痙攣療法，因此詢問護理師的意見，下列何者回答最適當？",18,{"webId":40,"stem":41,"number":42,"year":43,"session":31},"nurse-112-1-psychiatric-community-034","預防心理健康問題的發生，是屬於精神衛生預防概念的那一級工作？",34,112,{"webId":45,"stem":46,"number":47,"year":43,"session":10},"nurse-112-2-psychiatric-community-048","調查社區失智症失能盛行率，最適合應用於下列何種情況？",48,{"webId":49,"stem":50,"number":51,"year":52,"session":26},"nurse-113-3-psychiatric-community-016","有關身體症狀障礙症（somatic symptom disorder）的敘述，下列何者較不適切？",16,113,{"webId":54,"stem":55,"number":56,"year":57,"session":31},"nurse-115-1-psychiatric-community-020","陳女士，70歲，診斷為思覺失調症，因出現明顯精神症狀而入院治療。下列何項入院護理照護最適切？",20,115,{"webId":59,"stem":60,"number":42,"year":61,"session":10},"nurse-106-2-psychiatric-community-034","下列何者屬於精神衛生工作初級預防的護理功能？",106,"2026-09-04",1788510739874]