[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-112-3-psychiatric-community-018":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":35,"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-112-3-精神科與社區衛生護理學-018","nurse-112-3-psychiatric-community-018",112,3,18,"葉先生，36 歲，診斷恐慌症，發作時感到喘不過氣、胸痛、四肢麻痺，在急診時大喊：「我覺得快死了！」，下列護理師的處置，何者最適宜？",{"A":14,"B":15,"C":16,"D":17},"「不會，你不會死，不用想太多，你現在太緊張了，這些都是正常的焦慮症狀」","「冷靜一下，好好地說清楚你發作時的感覺」","「請問你以前都怎麼處理這種情況？」","「你現在人在醫院，我們陪著你。你很安全」","D",null,[],"本題考點在於恐慌發作當下的治療性溝通原則。依危機介入與治療性溝通原則,恐慌發作時病人處於強烈的死亡恐懼與失控感,護理重點是以簡短、鎮定的語句提供安全感與陪伴,故 D「你現在人在醫院,我們陪著你。你很安全」最適宜,傳達當下安全與同在。A 一連串否定與說教(不用想太多)會讓病人感到不被理解,且此時無法接收長篇說理。B 要病人「好好說清楚」是在發作高峰要求理性描述,超出其當下能力。C 詢問過去處理方式屬事後衛教內容,不適合用於急性發作正在失控時。考點在於辨識急性發作期以提供安全感為優先。","恐慌發作為交感神經過度激發,症狀常在 10 分鐘內達高峰、多在 20～30 分鐘內緩解。當下處置:陪伴、以簡短鎮定語句提供再保證、引導緩慢腹式呼吸以降低過度換氣。待緩解後再進行認知教育與呼吸訓練。溝通原則:急性期給安全感,而非給資訊或要求病人自我分析。",[24,27,30,32],{"term":25,"count":26},"治療性溝通",46,{"term":28,"count":29},"危機介入",4,{"term":31,"count":10},"恐慌症",{"term":33,"count":34},"提供安全感",1,[36,40,46,51,56,60],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-112-3-psychiatric-community-019","有關酒癮病人之敘述，下列何者正確？①停止喝酒後，戒斷症狀會在很短的時間內發生，且持續 5～7 天 ②酒精戒斷譫妄以聽幻覺為主 ③戒斷症狀包括：焦慮、厭食、失眠、顫抖等 ④常有營養不良和維他命 B 群缺乏的情形",19,{"webId":41,"stem":42,"number":43,"year":44,"session":45},"nurse-113-2-psychiatric-community-015","有關心理防衛機轉，下列敘述何者正確？",15,113,2,{"webId":47,"stem":48,"number":49,"year":50,"session":34},"nurse-114-1-psychiatric-community-009","胡先生，診斷為思覺失調症，因不停將家中東西丟到大街上，哥哥予以制止，胡先生即要攻擊哥哥。剛入住急性病房治療，下列何者為最優先的護理處置？",9,114,{"webId":52,"stem":53,"number":54,"year":55,"session":45},"nurse-115-2-psychiatric-community-007","以下治療性團體中的對話，小芬的回應最能顯示何項團體療效因子？小明：「我覺得我很失敗，一輩子都沒辦法從這種狀態中走出來。」小芬：「我之前也有這種感覺，但從團體中，我學會了接受自己的情緒，還重新找回了工作的方向，你要有信心。」",7,115,{"webId":57,"stem":58,"number":34,"year":59,"session":34},"nurse-107-1-psychiatric-community-001","精神科護理師在自己的臉書（Facebook）或部落格上討論所照顧的精神病人，試圖提供精神健康的相關知識，下列何者描述最適當？",107,{"webId":61,"stem":62,"number":63,"year":64,"session":45},"nurse-108-2-psychiatric-community-035","在社區精神衛生護理中，精神科護理之家的設立較屬於那種層級之預防工作？",35,108,"2026-09-04",1788510745862]