[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-112-3-psychiatric-community-005":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":10},"nurse-112-3-精神科與社區衛生護理學-005","nurse-112-3-psychiatric-community-005",112,3,5,"33 歲病人，躁症發作，午餐時間未用餐，護理師去叫病人吃飯，病人說：「房市我最懂，臺北、新北和竹北我都有置產買房，你叫我吃飯，我就送你一間房。」護理師說：「謝謝，你先告訴我，你要坐在那裡吃午餐？」此時護理師所運用的溝通技巧，下列何項最適宜？",{"A":14,"B":15,"C":16,"D":17},"提出觀察（making observation）","同理（empathy）","面質（confrontation）","集中話題（focusing）","D",null,[],"本題考點在於治療性溝通技巧中『集中話題（focusing）』的辨識。躁症病人話題誇大且發散（誇稱置產、要送房子），護理師不隨其飄移，而以『你要坐在哪裡吃午餐』把談話拉回具體、當前且需處理的重點（用餐），這正是集中話題，故選 D。提出觀察（A）是描述所見的客觀行為；同理（B）是反映感受；面質（C）是指出病人言行的矛盾，皆與此處『引導聚焦於單一主題』不同，故正解為 D。","躁症溝通原則：態度簡短、具體、一致，設限並引導其發散、意念飛躍的思緒回到當下任務，避免刺激或爭辯。Focusing 的功能是縮小主題範圍、協助病人專注可處理的議題。對照：making observation 陳述行為、confrontation 指出矛盾以促進覺察、empathy 反映情感——三者目的與 focusing 明顯不同。",[24,26,29,31],{"term":25,"count":10},"治療性溝通技巧",{"term":27,"count":28},"集中話題 focusing",1,{"term":30,"count":28},"躁症意念飛躍設限",{"term":32,"count":28},"與面質同理區辨",[34,38,43,47,52,57],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-112-3-psychiatric-community-006","世界衛生組織（WHO）近年來重視精神健康領域，建議以「社區」為主，建立「精神健康」的三級預防體系，提供精神疾病復健所需的社會資源，下列常見的社區化照護模式，何者錯誤？",6,{"webId":39,"stem":40,"number":41,"year":42,"session":41},"nurse-113-2-psychiatric-community-002","有關社區精神復健的照護重點，下列何者最不適切？",2,113,{"webId":44,"stem":45,"number":46,"year":42,"session":10},"nurse-113-3-psychiatric-community-046","82 歲潘老太太，身體衰弱需女兒協助日常生活照顧，但女兒白天通勤及上班時間共約 10 小時，無法配合日間照顧中心的服務時段，但女兒仍希望媽媽白天能接受長期照顧服務，下列何項社區式長照服務最適當？",46,{"webId":48,"stem":49,"number":50,"year":51,"session":28},"nurse-115-1-psychiatric-community-044","護理師對於懷孕的女性勞工在母性健康保護的相關措施，下列何者最不適當？",44,115,{"webId":53,"stem":54,"number":55,"year":56,"session":41},"nurse-106-2-psychiatric-community-068","小李食用真空包裝豆乾，半天後出現噁心、嘔吐、吞嚥困難及口乾、看不清楚、呼吸漸喘等症狀，最有可能是下列何種狀況？",68,106,{"webId":58,"stem":59,"number":60,"year":61,"session":41},"nurse-108-2-psychiatric-community-022","與高齡老人一同翻閱家族相簿，回憶美好時光與成功經驗，提升其自尊與自信的治療為何？",22,108,"2026-09-04",1788510745744]