[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-113-1-psychiatric-community-023":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-113-1-精神科與社區衛生護理學-023","nurse-113-1-psychiatric-community-023",113,1,23,"災難急性期運用安心團體（debriefing），下列敘述何者最適切？",{"A":14,"B":15,"C":16,"D":17},"於創傷後三個月開始實施最適宜","治療者協助個案回顧、經歷並整合創傷之過程","是屬於精神分析類的支持性治療團體","進行結構式之駁斥、澄清、面質、結束等步驟","B",null,[],"本題考點在於災難心理衛生中安心團體(debriefing)的正確概念。依危機介入理論,debriefing 是災難「急性期」實施的早期心理介入,由受過訓練的帶領者協助成員回顧災難事件、述說經歷與感受,並將創傷經驗加以整理、整合,以正常化壓力反應、預防創傷後壓力症,故 B 的「協助個案回顧、經歷並整合創傷之過程」最適切。A 錯誤,debriefing 強調於災後數日內(急性期)進行,而非創傷後三個月才開始;C 錯誤,其理論基礎屬危機介入模式,是結構式的教育支持性團體,不是精神分析取向;D 錯誤,其結構化步驟為介紹、事實、想法、反應、症狀、衛教、再入(re-entry)等階段,並不包含「駁斥、面質」——駁斥是理情行為治療(REBT)的技巧,面質也非急性期支持團體的作法。","重大事件壓力減壓會談(CISD)七階段:介紹期→事實期(發生什麼事)→想法期→反應期(情緒最深處)→症狀期→教育期(正常化壓力反應、衛教因應)→再入期(總結、資源轉介)。時機:災後 24–72 小時至數日內的急性期,屬次級預防性質的早期介入。原則:支持、不批判、不強迫發言、保密。注意的爭議考點:近年實證對單次強制性 debriefing 預防 PTSD 的效果有質疑,現行趨勢改推心理急救(PFA),但國考層級仍以「急性期、回顧與整合創傷、支持教育性質」為標準答案。對比:REBT 的 ABCDE(駁斥 Dispute)與面質技巧屬治療性會談,不用於災難急性期團體。",[24,27,29,31],{"term":25,"count":26},"危機介入理論",3,{"term":28,"count":10},"安心團體(debriefing)",{"term":30,"count":10},"重大事件壓力減壓會談(CISD)",{"term":32,"count":10},"災難心理衛生急性期處置",[34,38,42,48,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-113-1-psychiatric-community-024","有關精神護理之家的服務對象其收置條件，可包含下列何者？①精神症狀穩定且慢性化者 ②不需急性住院治療但需生活照顧者 ③需急性住院治療之年邁者、失智者 ④無家可歸的慢性精神病人",24,{"webId":39,"stem":40,"number":41,"year":9,"session":26},"nurse-113-3-psychiatric-community-020","洪小弟，6 歲，一年多來出現不自主的眨眼睛、裝鬼臉或聳肩膀，會發出「哼、哼、哼」的聲音。洪小弟的狀況最可能是下列那個問題？",20,{"webId":43,"stem":44,"number":45,"year":46,"session":47},"nurse-114-2-psychiatric-community-014","思覺失調症病人陳述：「護理師，我聽到我媽媽在廁所說話，聲音吵死了」。下列護理師的回應何者最適當？",14,114,2,{"webId":49,"stem":50,"number":51,"year":52,"session":10},"nurse-106-1-psychiatric-community-012","周小姐，28 歲，因情緒起伏大，有多次割腕自傷的病史，此次因服用過量的安眠藥而入院治療，住院後頻打電話要求父母帶外出散心，要求未果則大聲謾罵：「如果你們不來，我就去撞牆！」周小姐的行為反應為下列何者？",12,106,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-107-1-psychiatric-community-056","某國老年人口比率為 12.51%，請問是屬於下列何種社會？",56,107,{"webId":59,"stem":60,"number":61,"year":62,"session":10},"nurse-109-1-psychiatric-community-010","陳護理師接新住院病人，依據治療性溝通原則與新病人進行會談，下列描述何項是陳護理師較適切的表現？",10,109,"2026-09-04",1788510751250]