[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-113-1-psychiatric-community-010":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"lastmod":62},"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-010","nurse-113-1-psychiatric-community-010",113,1,10,"有關思覺失調症病人出現生活懶散、缺乏動機，下列何項護理措施最不適切？",{"A":14,"B":15,"C":16,"D":17},"鼓勵建立每日作息表","對參與團體治療給予讚賞","與病人的互動保持真誠與公開","向病人保證藥物治療只是短暫的","D",null,[],"本題考點在於思覺失調症負性症狀的護理原則,並辨識錯誤措施。思覺失調症屬慢性精神疾病,依精神藥理學原則,抗精神病藥物須長期規則服用以預防復發,擅自向病人保證「藥物治療只是短暫的」既不符事實,也會破壞後續服藥順從性與信任關係,故最不適切為 D。A 正確作法,依行為活化原則,結構化的每日作息表能改善懶散與缺乏動機;B 正確,依正增強原理,對參與團體治療給予讚賞可強化正向行為;C 正確,真誠一致與公開是治療性人際關係的基本要素,有助建立信任。","負性症狀(negative symptoms)五 A 記法:Avolition 無動機、Anhedonia 失樂、Alogia 貧語、Affective flattening 情感平淡、Asociality 社交退縮。負性症狀對傳統抗精神病藥反應差,護理重點在結構化活動、漸進式目標、正增強、避免過度要求造成挫敗。服藥衛教考點:思覺失調症復發率高,停藥一年內復發率極高,故衛教核心是「長期規則服藥」,絕不可為安撫而承諾短期停藥;對抗拒服藥者可討論長效針劑(depot injection)。此題同時測「不做虛假保證」——虛假保證(false reassurance)是治療性溝通的禁忌。",[24,27,30,32],{"term":25,"count":26},"正增強",7,{"term":28,"count":29},"思覺失調症負性症狀",3,{"term":31,"count":10},"抗精神病藥物長期治療原則",{"term":33,"count":10},"治療性溝通禁忌:虛假保證",[35,39,42,47,52,57],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-113-1-psychiatric-community-011","王小姐有被害妄想，一直擔心家人在食物中下毒，入院後仍不肯進食。下列何者是最優先的護理措施？",11,{"webId":40,"stem":41,"number":26,"year":9,"session":29},"nurse-113-3-psychiatric-community-007","團體治療中，成員 A 抱怨女兒天天工作忙常見不到人，表示自己辛苦撫養小孩很不值得。成員 B 表示自己女兒也很忙，建議父母要學習自己照顧自己，以上的團體互動最符合何項團體療效因素？",{"webId":43,"stem":44,"number":10,"year":45,"session":46},"nurse-114-2-psychiatric-community-001","根據精神衛生法，有關嚴重病人的敘述，下列何者正確？①病人呈現出與事實脫節之精神狀態 ②不能處理自己事務者 ③若被認定為嚴重病人必須強制住院 ④需要專科醫師診斷認定",114,2,{"webId":48,"stem":49,"number":50,"year":51,"session":46},"nurse-115-2-psychiatric-community-049","陳太太 66 歲，被診斷高血壓已 5 年，定期用藥，目前並無不適症狀。護理師提供的指導，下列何項最不適當？",49,115,{"webId":53,"stem":54,"number":55,"year":56,"session":10},"nurse-107-1-psychiatric-community-043","有關社區夥伴關係之敘述，下列何者錯誤？",43,107,{"webId":58,"stem":59,"number":60,"year":61,"session":46},"nurse-108-2-psychiatric-community-077","李先生，因工作意外全身癱瘓，剛從醫院出院，有氣切管及導尿管，由太太在家照顧，沐浴及外出均受到居家環境的限制。社區衛生護理師評估李太太因無人輪替，有緊張、焦慮等情形，且其照護能力尚未純熟。為讓李家得到較周全的協助，社區衛生護理師可將其轉介至下列那一個機構？",77,108,"2026-09-04",1788510751137]