[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-112-2-psychiatric-community-012":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-112-2-精神科與社區衛生護理學-012","nurse-112-2-psychiatric-community-012",112,2,12,"張小姐，診斷為妄想症，因懷疑學校同事向校長告狀阻礙其升遷，而有頻繁投訴教育部及謾罵同事等行為，由家屬陪同住院治療。下列護理措施，何者最適切？",{"A":14,"B":15,"C":16,"D":17},"同理其妄想所導致的內心感受","協助聯絡教育部，以建立信任感","面質其妄想內容，告知非事實","聯絡學校同事，以釐清事實","A",null,[],"本題考點是妄想症病人的治療性溝通原則。面對妄想,護理師不與其爭辯真假,而是同理妄想背後所引發的內心感受(如恐懼、被威脅、不安),藉此建立信任並降低焦慮,故選 A。協助聯絡教育部會強化並附和其妄想內容,B 不適當。直接面質妄想、告知非事實,會使病人更防衛、破壞關係,C 不適當。聯絡學校同事釐清事實既無助於治療也可能激化衝突,D 不適當。","與妄想病人溝通的通則是:不肯定也不否定妄想內容(neither agree nor challenge),而是承接情緒、聚焦現實。過早直接面質會被病人視為敵意,反而鞏固妄想;附和又會加深症狀。護理策略包含建立信任、以現實為基礎的活動轉移焦點、觀察妄想對安全的影響。記憶重點:對妄想,回應情緒不回應內容。此原則同樣適用於幻覺的護理溝通(承認病人的感受但表達護理師未有相同知覺)。",[24,27,29,32],{"term":25,"count":26},"治療性溝通",46,{"term":28,"count":10},"妄想症 Delusional Disorder",{"term":30,"count":31},"同理情緒不爭辯內容",1,{"term":33,"count":31},"建立信任",[35,39,44,49,54,59],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-112-2-psychiatric-community-013","下列有關精神疾病盛行率的敘述，何者正確？",13,{"webId":40,"stem":41,"number":42,"year":9,"session":43},"nurse-112-3-psychiatric-community-029","有關新生兒死亡率之敘述，下列何者正確？",29,3,{"webId":45,"stem":46,"number":47,"year":48,"session":10},"nurse-113-2-psychiatric-community-023","錢先生，36 歲，罹病 10 年，由父母照顧提供其生活所需。日常與家人相處時多言語衝突，指責父母。案父與病人多各說各話，案父尋求居家護理師協助。此情境下，精神科居家護理師最優先的照護目標為何？",23,113,{"webId":50,"stem":51,"number":52,"year":53,"session":43},"nurse-114-3-psychiatric-community-021","有關家庭暴力，下列敘述何者最適當？",21,114,{"webId":55,"stem":56,"number":57,"year":58,"session":31},"nurse-106-1-psychiatric-community-075","當前世界各國長期照護發展的主要趨勢，下列何者錯誤？",75,106,{"webId":60,"stem":61,"number":42,"year":62,"session":10},"nurse-107-2-psychiatric-community-029","照護李太太時，所採行之護理措施，下列何者較適當？",107,"2026-09-04",1788510748786]