[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-113-1-psychiatric-community-004":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"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-113-1-精神科與社區衛生護理學-004","nurse-113-1-psychiatric-community-004",113,1,4,"李先生為憂鬱症病人，因工作不順遂，與同事發生嚴重爭執，由案妻陪同到醫院接受治療，下列何項溝通技巧最不適宜？",{"A":14,"B":15,"C":16,"D":17},"主動傾聽","澄清","拓寬話題","批判","D",null,[],"本題考點在於治療性溝通技巧的辨識,屬反向題,選最不適宜者。錯誤(不適宜)的是D:批判(批評、評價)會讓個案感到被否定、防衛而中斷信任,是非治療性溝通的典型阻礙,對憂鬱且情緒受挫的個案尤其有害,故選D。A適宜:主動傾聽是建立治療關係的核心。B適宜:澄清能確認個案真正的想法與感受,避免誤解。C適宜:拓寬話題(引導個案多談)有助蒐集資料與情緒表達。辨識關鍵在區分治療性技巧(傾聽、澄清、引導)與非治療性反應(批判、說教、給建議、否定)。","治療性溝通技巧:傾聽、沉默、接納、澄清、反映、聚焦、開放式提問、摘要。非治療性溝通:批判評價、說教、給保證(如「不用擔心」)、改變話題逃避、防衛、封閉式追問。與憂鬱個案溝通須避免價值判斷,以同理與接納承接情緒。記憶:凡帶有「評價、否定、指導對錯」的回應多屬非治療性。",[24,27,30,32],{"term":25,"count":26},"治療性溝通",46,{"term":28,"count":29},"同理接納",2,{"term":31,"count":10},"非治療性溝通-批判",{"term":33,"count":10},"主動傾聽與澄清",[35,39,43,48,53,58],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-113-1-psychiatric-community-005","有關認知行為治療的敘述，下列何者最適切？",5,{"webId":40,"stem":41,"number":10,"year":9,"session":42},"nurse-113-3-psychiatric-community-001","有關治療性關係之特性，下列敘述何者正確？",3,{"webId":44,"stem":45,"number":46,"year":47,"session":10},"nurse-114-1-psychiatric-community-045","健康促進醫院為提升醫護人員的身體活動量而推動院內運動計畫，護理人員反應：「下班太累，無法參加」，此反應為潘德（Pender）健康促進模式中的何項行為認知？",45,114,{"webId":49,"stem":50,"number":51,"year":52,"session":29},"nurse-115-2-psychiatric-community-043","護理師對於健康的獨居老人建議使用的社區資源，下列何者最不適當？",43,115,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-107-1-psychiatric-community-037","老年人的記憶力衰退，較容易發生下列何種情況？",37,107,{"webId":59,"stem":60,"number":61,"year":62,"session":29},"nurse-108-2-psychiatric-community-071","有關家庭成員擴散期的敘述，下列何者錯誤？",71,108,"2026-09-04",1788510751087]