[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-112-2-psychiatric-community-036":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"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-112-2-精神科與社區衛生護理學-036","nurse-112-2-psychiatric-community-036",112,2,36,"有關災難護理的敘述，下列何者最不適切？",{"A":14,"B":15,"C":16,"D":17},"救難人員也是災難後照護關懷的對象","「二度災難」是指為了申請各類補助而遭遇到的各種困難","要求災民回到事故現場參與情境暴露法治療","考慮災民的文化差異提供照護","C",null,[],"本題考點是災難護理的原則，最不適切者為 C。災後心理復原強調在安全穩定的環境下循序漸進，強行要求災民回到事故現場進行情境暴露，可能造成再度創傷（re-traumatization），違反災難心理照護原則，故 C 最不適切為正解。A 適切，救難人員長期暴露於災難現場，本身也是需被關懷照護的對象（替代性創傷）。B 適切，「二度災難」指災後為申請補助、重建等行政程序所遭遇的種種困難與挫折。D 適切，提供照護須考量災民的文化差異與需求。考點在於辨識災難護理應「避免再次創傷、提供穩定支持」，而非急於施行暴露治療。","災後急性期首重心理急救（psychological first aid）：確保安全、穩定情緒、滿足基本需求與連結資源，暴露治療屬結構化心理治療，須在專業評估、時機成熟且個案準備好時方可進行，急性期強行暴露反致惡化。救難人員的替代性創傷與同情疲乏也須納入照護。記憶要點：災難照護＝先安全穩定，勿逼災民重回現場。可延伸連結心理急救、創傷後壓力症與救難者身心健康維護。",[24,27,29,31],{"term":25,"count":26},"災難護理",1,{"term":28,"count":26},"心理急救",{"term":30,"count":26},"再度創傷",{"term":32,"count":26},"替代性創傷",[34,38,43,47,52,57],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-112-2-psychiatric-community-037","有關急性精神科病房暴力的敘述，下列何者最適切？",37,{"webId":39,"stem":40,"number":41,"year":42,"session":26},"nurse-113-1-psychiatric-community-003","有關家庭治療之敘述，下列何者最適切？",3,113,{"webId":44,"stem":45,"number":46,"year":42,"session":10},"nurse-113-2-psychiatric-community-047","有關長期照護中社區式照護的資源，下列何者不適當？",47,{"webId":48,"stem":49,"number":50,"year":51,"session":41},"nurse-114-3-psychiatric-community-045","根據學校衛生法，學校護理師對學童健康問題，下列何者應最優先提供預防及矯治？",45,114,{"webId":53,"stem":54,"number":55,"year":56,"session":10},"nurse-106-2-psychiatric-community-019","臨床上採用 Aricept 作為治療阿茲海默症初、中期的記憶障礙，其主要作用機轉為何？",19,106,{"webId":58,"stem":59,"number":60,"year":61,"session":10},"nurse-107-2-psychiatric-community-053","社區衛生護理可分為綜合性（generalized）與專科化（specialized）兩種方式推展，有關綜合性社區衛生護理的敘述，下列何者錯誤？",53,107,"2026-09-04",1788510748975]