[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-112-2-psychiatric-community-023":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-023","nurse-112-2-psychiatric-community-023",112,2,23,"邊緣型人格障礙症病人有可能將護理師理想化或是言詞貶損護理師，有關此臨床特徵的敘述，下列何項最適切？",{"A":14,"B":15,"C":16,"D":17},"無法感受到對懲罰或是痛苦的恐懼","冷漠無情，不在乎傷害他人","強烈的自大以及對他人缺乏同理心","以全好和全壞二分法的觀點看待人際關係","D",null,[],"本題考點是邊緣型人格障礙症的核心特徵。將護理師一下理想化、一下貶損,反映的是分裂(splitting)防衛機轉,即以全好或全壞的二分法看待人際關係,無法整合他人同時具有優缺點的完整形象,故選 D。無法感受懲罰或痛苦的恐懼、冷漠無情不在乎傷害他人,屬反社會型人格特徵,A、B 不符。強烈自大與缺乏同理心是自戀型人格的表現,C 不符。","邊緣型人格障礙症的核心是情緒、人際與自我認同的不穩定,以及對被拋棄的強烈恐懼。分裂(splitting)使其人際關係在理想化與貶抑間劇烈擺盪,也造成醫療團隊分化(staff splitting)。護理策略強調團隊態度一致、清楚且一致的界線設定、驗證病人情緒同時不隨其擺盪起舞。人格障礙分類記憶:A 群(古怪)、B 群(戲劇化,含邊緣、自戀、反社會、做作型)、C 群(焦慮),本題各選項恰對應 B 群不同亞型。",[24,27,30,32],{"term":25,"count":26},"邊緣型人格障礙症",4,{"term":28,"count":29},"分裂 splitting",1,{"term":31,"count":29},"全好全壞二分法",{"term":33,"count":29},"人格障礙分群",[35,39,44,49,54,59],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-112-2-psychiatric-community-024","有關病人以身體症狀帶來附帶收穫（secondary gain）的敘述，下列何者最適切？",24,{"webId":40,"stem":41,"number":42,"year":9,"session":43},"nurse-112-3-psychiatric-community-040","有關水媒疾病的敘述，下列何者正確？",40,3,{"webId":45,"stem":46,"number":47,"year":48,"session":10},"nurse-113-2-psychiatric-community-034","依學校衛生法，某國小全校班級數為 45 班，有關學校衛生人力配置之敘述，下列何者正確？",34,113,{"webId":50,"stem":51,"number":52,"year":53,"session":43},"nurse-114-3-psychiatric-community-032","進行社區健康評估時，蒐集社區提供獨居老人共餐情形，主要是下列何種系統的資料蒐集？",32,114,{"webId":55,"stem":56,"number":57,"year":58,"session":10},"nurse-106-2-psychiatric-community-006","病房的設計中都會擺放時鐘和月曆，主要目的在提供下列何種功能？",6,106,{"webId":60,"stem":61,"number":42,"year":62,"session":10},"nurse-107-2-psychiatric-community-040","依據伯姆漢（Blomhoff）及多位國內學者提出評估病人的暴力危險因子，下列描述暴力危險因子何項最適當？",107,"2026-09-04",1788510748873]