[{"data":1,"prerenderedAt":68},["ShallowReactive",2],{"q-nurse-112-3-psychiatric-community-022":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":37,"lastmod":67},"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-022","nurse-112-3-psychiatric-community-022",112,3,22,"有關心理防衛機轉的敘述，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"無意識抑制自己的內在衝動是壓抑作用（suppression）","以特定行為消除內心的焦慮是抵銷作用（undoing）","將原始的衝動壓抑到潛意識的層面是轉移作用（displacement）","將內在衝突藉由象徵性的身體症狀呈現是取代作用（substitution）","B",null,[],"本題考點在於心理防衛機轉的正確定義配對。依精神分析概念,B 正確:抵銷作用(undoing)是以特定的象徵性行為去抵消或彌補內心引發焦慮的想法或行為(如反覆洗手以抵消罪惡感)。A 錯誤,「無意識」抑制內在衝動是潛抑作用(repression);壓抑作用(suppression)是「有意識」地刻意壓下,兩者差在意識層次。C 錯誤,將原始衝動壓抑到潛意識層面是潛抑作用(repression),而非轉移作用(displacement,將情緒轉向較安全對象)。D 錯誤,將內在衝突以象徵性身體症狀呈現是轉化作用(conversion),而非取代作用(substitution)。考點在於辨識各防衛機轉的精確定義。","易混淆對照:潛抑(repression)=不自覺遺忘;壓抑(suppression)=有意識暫緩;抵銷(undoing)=象徵性行為彌補;轉移\u002F替代(displacement)=把情緒發洩到較安全對象;轉化(conversion)=心理衝突變成身體症狀(且患者常不焦慮,belle indifférence)。記憶關鍵:repression 與 suppression 差在「有無意識」;undoing 強調「儀式化補償行為」。",[24,27,30,32,35],{"term":25,"count":26},"心理防衛機轉",9,{"term":28,"count":29},"轉化作用",2,{"term":31,"count":29},"轉移作用",{"term":33,"count":34},"抵銷作用",1,{"term":36,"count":34},"潛抑與壓抑之別",[38,42,47,52,57,62],{"webId":39,"stem":40,"number":41,"year":9,"session":10},"nurse-112-3-psychiatric-community-023","社區心理衛生護理人員會主動關心社區中需要健康服務的民眾，利用工具與會談技巧，篩檢社區中的高危險群，以達早期發現的目的。此護理人員執行角色最符合下列何者？",23,{"webId":43,"stem":44,"number":45,"year":46,"session":29},"nurse-113-2-psychiatric-community-019","有關行為治療應用的情境，下列何者最適切？",19,113,{"webId":48,"stem":49,"number":50,"year":51,"session":34},"nurse-114-1-psychiatric-community-013","承上題，住院第二天，陳同學表示我的父母一定是假的，否則不會將自己的小孩抓來住院。下列護理師的回答何者最適當？",13,114,{"webId":53,"stem":54,"number":55,"year":56,"session":29},"nurse-115-2-psychiatric-community-011","張先生是一位思覺失調症病人，住院期間常摀著耳朵自言自語說：「有人一直在罵我，叫我去死！」護理師發現他因此情緒顯得很焦慮。下列護理師的處置，何者最適當？",11,115,{"webId":58,"stem":59,"number":60,"year":61,"session":34},"nurse-107-1-psychiatric-community-005","在精神科病房住院病人中，護理師與病人接觸時間最多，與病人建立治療性人際關係，宜善用此治療性人際關係，促進病人自我改變與成長，護理師在評估病人是否適合個別心理治療之條件中，下列何者為宜？①智力中上 ②個性執著 ③症狀不嚴重 ④有內省的能力",5,107,{"webId":63,"stem":64,"number":65,"year":66,"session":29},"nurse-108-2-psychiatric-community-039","針對家庭暴力，護理師的治療性措施，下列敘述何者正確？",39,108,"2026-09-04",1788510745893]