[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-111-2-psychiatric-community-020":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"lastmod":63},"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-020","nurse-111-2-psychiatric-community-020",111,2,20,"林小姐，15 歲，診斷為思覺失調症，多次因和母親的男朋友有爭執，出現幻聽。下列何者居家護理措施最適當？",{"A":14,"B":15,"C":16,"D":17},"教導病人接受母親的男友","建議病人獨居減輕衝突","安排強制住院","安排家庭治療","D",null,[],"本題考點是思覺失調症居家護理中對家庭系統問題的處置。依家庭系統理論與高情緒表露(high expressed emotion)概念,家庭衝突是思覺失調症復發與症狀惡化的重要誘因;個案每因與母親男友爭執而幻聽加劇,問題根源在家庭互動,安排家庭治療能改善溝通型態、降低衝突與情緒張力,故 D 最適當。A 錯在「教導接受母親男友」否定病人感受,單方面要求病人退讓無法處理系統性衝突。B 錯在 15 歲未成年且患病,獨居不切實際,反增孤立與照護中斷風險。C 錯在強制住院依精神衛生法須為嚴重病人且有自傷傷人之虞,本情境未達要件。","高情緒表露(EE)家庭指常出現批評、敵意、過度情感涉入的互動型態,實證顯示高 EE 家庭的思覺失調症復發率顯著較高,故家庭介入(衛教、溝通訓練、家庭治療)是社區精神復健的核心策略。強制住院要件記憶:嚴重病人+自傷或傷人之虞+經專科醫師鑑定+審查會核准,缺一不可,考題常以「未達要件卻選強制住院」設錯項。",[24,27,30,32],{"term":25,"count":26},"家庭治療",5,{"term":28,"count":29},"高情緒表露與復發",1,{"term":31,"count":29},"精神衛生法強制住院要件",{"term":33,"count":29},"居家精神護理",[35,39,44,48,54,59],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-111-2-psychiatric-community-021","葛先生，診斷為雙相情緒障礙症，入院第三天，在入院期間常常在大廳走動，很容易與其他病友起口角或衝突，經醫療團隊討論後決定給予葛先生執行隔離措施，對隔離措施的敘述，下列何者正確？",21,{"webId":40,"stem":41,"number":42,"year":43,"session":29},"nurse-112-1-psychiatric-community-037","有關隔離與約束的醫囑，不包含下列何者？",37,112,{"webId":45,"stem":46,"number":47,"year":43,"session":10},"nurse-112-2-psychiatric-community-051","有關社區健康評估方法之敘述，下列何者較不適當？",51,{"webId":49,"stem":50,"number":51,"year":52,"session":53},"nurse-113-3-psychiatric-community-019","有關社區精神心理衛生的護理過程，下列敘述何者最適切？",19,113,3,{"webId":55,"stem":56,"number":57,"year":58,"session":29},"nurse-115-1-psychiatric-community-023","張太太因先生車禍意外過世出現激動不安、捶打家人，遂被帶至急診救治。依據卡普蘭（Caplan.）危機理論，張太太目前處於危機發展過程的那一期？",23,115,{"webId":60,"stem":61,"number":42,"year":62,"session":10},"nurse-106-2-psychiatric-community-037","承上題，王先生面對此雙重打擊，有關其反應與調適的敘述，下列何者正確？",106,"2026-09-04",1788510739898]