[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-112-3-psychiatric-community-014":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-014","nurse-112-3-psychiatric-community-014",112,3,14,"李同學就讀高中三年級，日前媽媽生病過世，李同學因為失落、哀傷住進急性病房，護理師在住院過程提供支持性心理治療（supportive psychotherapy），下列有關支持性心理治療概念的描述，何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"為改善病人症狀","為提升個案的自尊","可強化李同學的自我功能","宜探討問題背後的原因","D",null,[],"本題考點在於支持性心理治療（supportive psychotherapy）的目標與方法。支持性治療著重於改善當前症狀（A）、提升自尊（B）與強化個案的自我功能（C），協助其度過壓力危機、恢復原有適應能力。本題為反向題，錯誤敘述為 D，『探討問題背後的原因』是屬於領悟性／分析性心理治療（insight-oriented）的做法，並非支持性治療的重點，支持性治療不深挖潛意識衝突而是強化既有防衛與因應，故選 D。","對比記憶：支持性治療『扶持現況、強化自我、減輕症狀』，適合自我功能較脆弱或處於急性壓力（如哀傷）者，方法包括保證、鼓勵、環境調整與情緒支持；領悟性治療則『向內探索、揭露潛意識衝突與根源』，需要較強的自我功能。本題個案處於急性哀傷失落，宜先支持穩定而非深度分析。",[24,27,29,31],{"term":25,"count":26},"支持性心理治療",1,{"term":28,"count":26},"強化自我功能",{"term":30,"count":26},"改善症狀提升自尊",{"term":32,"count":26},"與領悟性心理治療對比",[34,38,44,49,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-112-3-psychiatric-community-015","林先生患第一型雙相情緒障礙症（Bipolar I Disorder）多年，當其在躁症發作時，很容易與人起衝突，而出現攻擊行為，下列護理措施何者正確？①將病人留在現場 ②鼓勵病人以言語表達其感受 ③必要時，帶入保護室隔離 ④以堅定口氣指示病人適當的行為",15,{"webId":39,"stem":40,"number":41,"year":42,"session":43},"nurse-113-2-psychiatric-community-011","李小姐為躁症發作病人，大夜班護理師查房時發現李小姐跟男病友一起躺在床上，下列護理措施何者較適宜？①觀察兩人的性互動行為程度 ②將兩人分開持續密切觀察 ③鼓勵學習適切的異性互動 ④將李小姐持續隔離，防範接觸異性",11,113,2,{"webId":45,"stem":46,"number":47,"year":48,"session":26},"nurse-114-1-psychiatric-community-005","護理師詢問病人「您幾歲？」，病人回答「38歲」，再繼續問病人「之前的工作服務多久？」，病人仍回答「38歲」，病人對之後的問題皆回答「38歲」。此現象屬於下列何種症狀？",5,114,{"webId":50,"stem":51,"number":10,"year":52,"session":43},"nurse-115-2-psychiatric-community-003","精神病人擅自離開精神照護機構，行蹤不明時，依據民國 111 年公布之精神衛生法，下列何者處置最適當？",115,{"webId":54,"stem":55,"number":56,"year":57,"session":43},"nurse-106-2-psychiatric-community-077","某長者預約社區內醫療院所的老人健康檢查，但名額已滿。這代表該社區的老人健康檢查資源的那一項特性不足？",77,106,{"webId":59,"stem":60,"number":61,"year":62,"session":43},"nurse-108-2-psychiatric-community-031","厭食症與暴食症個案常有認知扭曲，下列敘述何者不是認知扭曲？",31,108,"2026-09-04",1788510745831]