[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-112-2-psychiatric-community-029":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":36,"lastmod":65},"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-029","nurse-112-2-psychiatric-community-029",112,2,29,"有關物質使用障礙症的護理措施中，下列何者較不適切？",{"A":14,"B":15,"C":16,"D":17},"協助物質使用障礙症的病人，核心議題是其個人對於問題的覺察能力","增加個案的現實感，不要與個案爭辯其妄想內容，並同理其害怕、擔心","鼓勵病人使用否認或隔離的心理機轉，以逃避心理壓力","討論戒除的可行方法，協助訂定合適的目標，並評值其成效","C",null,[],"本題考點是物質使用障礙症的護理措施，較不適切者為 C。治療目標是協助病人面對現實、覺察問題並建立健康因應，鼓勵病人使用「否認」或「隔離」等防衛機轉來逃避壓力，反而強化病人不面對問題的模式，違反治療原則，故 C 最不適切為正解。A 適切，物質濫用治療的核心議題正是個案對自身問題的覺察能力（病識感）。B 適切，增加現實感、不與妄想或否認內容爭辯並同理其害怕，是建立信任的原則。D 適切，與病人討論戒除的可行方法、共同設定合適目標並評值成效，符合護理過程。考點在於辨識治療應「提升覺察與健康因應」，而非鼓勵使用逃避性防衛機轉。","否認與隔離屬不成熟／神經症性防衛機轉，短期或許緩解焦慮，長期卻阻礙病人正視成癮問題，是復發的重要因素。護理原則為以同理與非評價態度提升病識感、運用動機式晤談協助病人自己說出改變理由。記憶要點：治療＝面對現實、增進覺察；不是幫病人找藉口逃避。可延伸連結動機式晤談、改變階段模式（precontemplation 到 maintenance）與復發預防。",[24,27,30,33],{"term":25,"count":26},"病識感",11,{"term":28,"count":29},"物質使用障礙症",6,{"term":31,"count":32},"動機式晤談",4,{"term":34,"count":35},"防衛機轉(否認、隔離)",1,[37,41,46,51,56,61],{"webId":38,"stem":39,"number":40,"year":9,"session":10},"nurse-112-2-psychiatric-community-030","下列有關閱讀障礙（Dyslexia）之敘述，何者錯誤？",30,{"webId":42,"stem":43,"number":44,"year":9,"session":45},"nurse-112-3-psychiatric-community-046","有關居家護理師之角色與功能之敘述，下列何者錯誤？",46,3,{"webId":47,"stem":48,"number":49,"year":50,"session":10},"nurse-113-2-psychiatric-community-040","有關食物中毒的緊急處理原則，下列何者錯誤？",40,113,{"webId":52,"stem":53,"number":54,"year":55,"session":45},"nurse-114-3-psychiatric-community-038","自來水消毒過程，氯與水中有機物結合，會產生下列何種有害健康物質？",38,114,{"webId":57,"stem":58,"number":59,"year":60,"session":10},"nurse-106-2-psychiatric-community-012","護理師與病人在治療性人際關係建立的過程中，工作期階段的主要任務為何？",12,106,{"webId":62,"stem":63,"number":44,"year":64,"session":10},"nurse-107-2-psychiatric-community-046","依據勞動基準法第 52 條規定，除規定之休息時間外雇主應每日另提供產後職業婦女幾次哺乳時間？",107,"2026-09-04",1788510748915]