[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-112-3-psychiatric-community-007":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"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-112-3-精神科與社區衛生護理學-007","nurse-112-3-psychiatric-community-007",112,3,7,"張先生因拿油漆潑鄰居，揚言同歸於盡，而被強制送醫，診斷為思覺失調症，在病房大聲說：「那個鄰居很可惡，故意把車停在我的車道上讓我出不去，我潑油漆只是給他們警告，又不會傷害他們，卻被抓來住院，沒天理。」護理師運用同理心的技巧回應，下列何項最適宜？",{"A":14,"B":15,"C":16,"D":17},"「總之，潑油漆是不對的行為」","「聽起來，你很生氣」","「先冷靜，我們等警察調查清楚」","「你太太有跟鄰居澄清，並無擋路之事」","B",null,[],"本題考點在於同理心技巧的正確運用。病人激動陳述被抓來住院的不平，其核心情緒是憤怒與委屈，選項 B『聽起來，你很生氣』準確反映其當下感受，屬同理回應，故選 B。A『潑油漆是不對的』是價值批判與說教；C『先冷靜，等警察調查』是命令加轉移；D『你太太已澄清並無擋路』是反駁與講道理，三者都未貼近病人的情緒經驗、且易升高對立，故正解為 B。","面對思覺失調症或激動病人，先『接住情緒』再談內容，能降低防衛與衝突。同理不等於認同其行為或妄想內容，而是反映其感受讓病人覺得被聽見。避免爭辯妄想真偽、避免說教與命令。技巧層次：反映感受（B）優於評論是非（A）或講理糾正（D）。",[24,27,29,31],{"term":25,"count":26},"同理心反映感受",1,{"term":28,"count":26},"思覺失調症溝通",{"term":30,"count":26},"先接情緒後談內容",{"term":32,"count":26},"避免爭辯與說教",[34,38,44,48,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-112-3-psychiatric-community-008","有關抗精神病藥物（antipsychotics）副作用之處理，下列何者正確？",8,{"webId":39,"stem":40,"number":41,"year":42,"session":43},"nurse-113-2-psychiatric-community-004","精神衛生工作的三級預防概念，下列何者屬於三級預防的工作內容？",4,113,2,{"webId":45,"stem":46,"number":47,"year":42,"session":10},"nurse-113-3-psychiatric-community-048","依據臺灣長期照護專業協會之機構照護委員會所訂定機構品質監測指標，包含那些項目？①尿布使用 ②約束 ③感染 ④跌倒 ⑤壓力性損傷 ⑥非計畫性體重改變",48,{"webId":49,"stem":50,"number":51,"year":52,"session":26},"nurse-115-1-psychiatric-community-046","有關失智社區服務據點的服務項目，下列何者最不適當？",46,115,{"webId":54,"stem":55,"number":56,"year":57,"session":43},"nurse-106-2-psychiatric-community-070","配合 0～7 歲兒童的疫苗接種時程，我國全民健康保險規劃補助幾次的兒童預防保健門診？",70,106,{"webId":59,"stem":60,"number":61,"year":62,"session":43},"nurse-108-2-psychiatric-community-024","呂小姐，42 歲，入院 4 週，預計下週出院，今天與護理師會談時提到自己的幻聽已改善很多，雖然仍會聽到一些聲音，不過內容已沒以前清楚，下列護理措施何者最適切？",24,108,"2026-09-04",1788510745761]