[{"data":1,"prerenderedAt":62},["ShallowReactive",2],{"q-nurse-112-1-psychiatric-community-014":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"lastmod":61},"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-112-1-精神科與社區衛生護理學-014","nurse-112-1-psychiatric-community-014",112,1,14,"陳先生在住院期間，與多位病人有衝突，且多次出手攻擊。在訂定行為治療時，下列何項措施最適宜？",{"A":14,"B":15,"C":16,"D":17},"與病人共同討論","依病房管理原則訂定","由護理師獨立規劃執行","僅需家屬同意","A",null,[],"本題考點在於行為治療計畫的個案參與原則。情境為攻擊行為病人訂定行為治療，依治療同盟與賦權原則，與病人「共同討論」訂定目標與增強方式，可提升其自我控制動機與遵從度，故 A 最適宜。B 依病房管理原則訂定忽略個案需求。C 由護理師獨立規劃缺乏團隊與個案參與。D 僅需家屬同意忽略了病人本人的參與與自主，皆不符行為治療強調共識與個別化的精神。","行為治療講究個案是行為改變的主體，共同訂約(contingency contract)能明確界定目標行為與後果，提升承諾感。攻擊行為個案更需透過參與式討論建立內在動機而非外加約束。與前題呼應「個別化+團隊+共識」三原則。",[24,26,29,32],{"term":25,"count":11},"行為治療",{"term":27,"count":28},"治療同盟",3,{"term":30,"count":31},"行為契約",2,{"term":33,"count":10},"個案參與",[35,39,43,47,52,57],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-112-1-psychiatric-community-015","陳先生診斷為思覺失調症，有嚴重幻聽干擾，時而聽見有人在稱讚他，時而又在指責他，導致他情緒起伏不定，因而多數時間都獨自躺床與幻聽對話。下列何項護理措施最適宜？",15,{"webId":40,"stem":41,"number":42,"year":9,"session":31},"nurse-112-2-psychiatric-community-031","在某幼稚園就讀大班的林小弟，平時表現良好，只是有些好動，最近眼睛眨個不停，嘴角不自主抽動，甚至搖頭，頸部晃個不停，樣子十分難看，同學都開始嘲笑他。上述表現最可能為下列何者？",31,{"webId":44,"stem":45,"number":46,"year":9,"session":28},"nurse-112-3-psychiatric-community-045","職業衛生護理師發現某些作業員突有壓力大增、情緒不穩的現象。下列何項措施最不適當？",45,{"webId":48,"stem":49,"number":50,"year":51,"session":10},"nurse-114-1-psychiatric-community-043","下列那些是骨質疏鬆的危險因子？①體重過重   ②飲食含鹽量過少   ③缺乏運動   ④飲酒過量   ⑤ 甲狀腺機能亢進",43,114,{"webId":53,"stem":54,"number":55,"year":56,"session":31},"nurse-115-2-psychiatric-community-047","司馬先生為重度失能者，太太為主要照顧者，因女兒生產需到外縣市探視 1 週，太太煩惱先生的照顧問題。依據此家庭狀況，使用下列那一項長期照護服務資源最適當？",47,115,{"webId":58,"stem":59,"number":42,"year":60,"session":10},"nurse-107-1-psychiatric-community-031","下列何種疾患最常與飲食障礙症成為共病？",107,"2026-09-04",1788510743257]