[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-111-2-psychiatric-community-030":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"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-030","nurse-111-2-psychiatric-community-030",111,2,30,"有關與神經障礙症兒童溝通，下列何者最不適當？",{"A":14,"B":15,"C":16,"D":17},"簡短具體的結構性語句","初次評估必須運用身體接觸技巧","避免太抽象的語句","強調正向的回饋","B",null,[],"本題考點是與神經發展障礙症兒童的溝通原則,選「最不適當」者。依神經發展障礙症(如自閉症類群障礙症)的感覺處理特性,這類兒童常對觸覺等感覺刺激過度敏感,身體接觸可能引發強烈焦慮、退縮或激動,初次評估時關係尚未建立,更不應貿然使用身體接觸技巧,須先觀察其反應並尊重其界限,故 B 最不適當而為本題答案。A 正確:簡短、具體、結構性的語句符合其認知處理特性。C 正確:這類兒童對抽象語言、比喻理解困難,應避免太抽象的語句。D 正確:強調正向回饋能增強適當行為,符合行為增強原理。","自閉症類群障礙症溝通四原則:具體(說「把杯子放桌上」而非「收一收」)、結構(固定流程、視覺提示)、預告(改變前先告知,降低對變動的焦慮)、正增強(即時、明確的稱讚)。感覺統合異常是核心特徵之一,可表現為觸覺防禦(排斥擁抱、碰觸)、對聲光過度或過低反應,故任何身體接觸都須在關係建立、了解其感覺特性後漸進嘗試。此原則與一般兒童護理「以觸摸傳達關懷」形成對比,是命題的陷阱點。",[24,27,29,31],{"term":25,"count":26},"神經發展障礙症溝通原則",1,{"term":28,"count":26},"自閉症類群感覺過敏",{"term":30,"count":26},"觸覺防禦",{"term":32,"count":26},"結構化溝通與正增強",[34,38,43,47,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-111-2-psychiatric-community-031","針對譫妄病人的護理措施，下列何者正確？",31,{"webId":39,"stem":40,"number":41,"year":42,"session":26},"nurse-112-1-psychiatric-community-047","有關三角致病模式的要素，下列何者正確？①壓力 ②環境 ③病原體 ④宿主",47,112,{"webId":44,"stem":45,"number":46,"year":42,"session":10},"nurse-112-2-psychiatric-community-061","下列何種食物中毒，潛伏期最短？",61,{"webId":48,"stem":49,"number":50,"year":51,"session":52},"nurse-113-3-psychiatric-community-029","有關登革熱之敘述，下列何者最不適當？",29,113,3,{"webId":54,"stem":55,"number":56,"year":57,"session":26},"nurse-115-1-psychiatric-community-033","有關社區活動評值之總目標（goal）與具體目標（objective）的敘述，下列何者正確？①總目標為量化及可測量   ②具體目標為量化及可測量   ③總目標須包含人、時間、達成什麼及程度    ④具體目標須包含人、時間、達成什麼及程度",33,115,{"webId":59,"stem":60,"number":41,"year":61,"session":10},"nurse-106-2-psychiatric-community-047","下列何者為申請全民健康保險給付的居家護理服務之收案程序？",106,"2026-09-04",1788510740001]