[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-111-2-psychiatric-community-039":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-039","nurse-111-2-psychiatric-community-039",111,2,39,"護理人員與精神病人會談時，常用的治療技巧，下列何者正確？①全神貫注地傾聽 ②儘量不要使用「為什麼」的問句 ③運用面質技巧盡速建立護病關係 ④運用澄清的技巧了解病人的想法",{"A":14,"B":15,"C":16,"D":17},"①②③","①②④","①③④","②③④","B",null,[],"本題考點是護病會談的治療性溝通技巧,複選判斷。①正確:全神貫注地傾聽(active listening)是建立信任與蒐集資料的基礎技巧。②正確:「為什麼」的問句帶有質問與責備意味,易使病人防衛,依治療性溝通原則應儘量避免。④正確:澄清(clarification)能確認病人語意、了解其真正想法,是常用治療性技巧。③錯誤:面質(confrontation)是指出病人言行不一致的進階技巧,依治療性人際關係分期,須待關係穩固的工作期才審慎使用,用面質來「盡速建立護病關係」本末倒置,反而破壞信任。故正確組合為①②④,選 B。","治療性人際關係四期與技巧配對:介紹前期(自我覺察)、介紹期(建立信任—傾聽、接納、澄清)、工作期(處理問題—面質、解析、設限)、結束期(處理分離情緒、回顧成果)。面質使用三前提:關係已建立、時機恰當、出於治療目的而非情緒發洩。「為什麼」問句的替代方案:改用「什麼」「如何」開頭(如「發生了什麼讓你這麼想?」),既開放又不具威脅性,此改寫技巧常成為情境題正解的樣板。",[24,27,29,32],{"term":25,"count":26},"治療性溝通技巧",3,{"term":28,"count":26},"治療性人際關係分期",{"term":30,"count":31},"面質使用時機",1,{"term":33,"count":31},"澄清與傾聽",[35,39,44,48,53,58],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-111-2-psychiatric-community-040","有關慢性精神病人四段七級健康促進模式的主要策略，下列何者正確？",40,{"webId":40,"stem":41,"number":42,"year":43,"session":31},"nurse-112-1-psychiatric-community-056","根據渥太華憲章，科技公司設置運動教室讓員工使用，是屬於下列何項行動綱領？",56,112,{"webId":45,"stem":46,"number":47,"year":43,"session":10},"nurse-112-2-psychiatric-community-070","有關職業肌肉骨骼疾病的危險因子，下列何者最不適當？",70,{"webId":49,"stem":50,"number":51,"year":52,"session":26},"nurse-113-3-psychiatric-community-038","下列那項食品導致肉毒桿菌中毒的風險最高？",38,113,{"webId":54,"stem":55,"number":56,"year":57,"session":31},"nurse-115-1-psychiatric-community-042","護理師家訪就讀國小二年級被判定體重肥胖的大明，發現全家皆有體位異常問題，目前大明母親懷孕8個月，護理師與大明及其父母一起討論如何協助家庭成員維持正常體位。下列敘述何者最不適當？",42,115,{"webId":59,"stem":60,"number":42,"year":61,"session":10},"nurse-106-2-psychiatric-community-056","透過舉辦健康講座，教導員工如何預防慢性病，這是屬於 1986 年渥太華憲章中的那一項策略？",106,"2026-09-04",1788510740075]