[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-113-2-psychiatric-community-003":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-113-2-精神科與社區衛生護理學-003","nurse-113-2-psychiatric-community-003",113,2,3,"李小姐，診斷為思覺失調症，主治醫師告知下星期要安排她出院返家，不料她面有難色，靜坐在大廳半小時。下列護理措施何者最適切？",{"A":14,"B":15,"C":16,"D":17},"轉介心理師進行人格測驗","同理李小姐對出院的想法或感受","教導李小姐辦理出院的手續","向李小姐保證有困難可以再入院","B",null,[],"本題考點在於治療性溝通技巧中「同理(empathy)」的運用時機。個案面對出院面有難色、靜坐大廳,顯示對出院有未表達的擔憂與情緒。B 正確:此時應先同理她對出院的想法與感受,建立信任、鼓勵表達情緒,才能進一步了解阻礙,故為最適切、即答案。A 轉介人格測驗與其情緒困擾無直接關聯,且非當下所需。C 教導辦手續是跳過情緒直接處理事務,忽視個案的心理需求。D「保證有困難可再入院」屬不當保證(false reassurance),阻斷情緒探索且傳達出院即失敗的暗示。考點在於情緒議題優先以同理回應,而非急於給答案或事務指導。","治療性溝通的層次:先建立關係與同理,再探索(exploring)、澄清(clarifying),最後才提供資訊。同理是設身處地反映對方感受,如「聽起來要出院讓你覺得不安」。應避免的反治療性回應包含:不當保證、給建議、轉移話題。此題個案的靜坐是非語言訊息,護理需先接住情緒。記憶:病人有情緒時,先同理再處理事情。",[24,27,30,32],{"term":25,"count":26},"治療性溝通",46,{"term":28,"count":29},"同理",1,{"term":31,"count":29},"不當保證",{"term":33,"count":29},"情緒優先原則",[35,39,43,48,53,58],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-113-2-psychiatric-community-004","精神衛生工作的三級預防概念，下列何者屬於三級預防的工作內容？",4,{"webId":40,"stem":41,"number":42,"year":9,"session":11},"nurse-113-3-psychiatric-community-050","世界衛生組織提出延緩失能的六大能力，有關「長者整合性照護指引（Integrated care for older people, ICOPE）」之評估項目，下列何者最適當？",50,{"webId":44,"stem":45,"number":46,"year":47,"session":10},"nurse-114-2-psychiatric-community-044","依據勞工健康保護規則，職場醫護人員及勞工健康服務相關人員臨場辦理勞工健康服務事項，下列何者最不適當？",44,114,{"webId":49,"stem":50,"number":51,"year":52,"session":29},"nurse-106-1-psychiatric-community-042","有關我國所推動之「厝邊好醫師，社區好醫院」區域共同照護網絡之敘述，下列何者錯誤？",42,106,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-107-2-psychiatric-community-006","患有憂鬱症的小華：「我不想繼續參加這個活動。」護理師：「活動不好玩嗎？」小華：「雖然有時活動很有趣，但我常覺得融入不了別人的話題。」護理師：「不能融入別人的話題讓你感到不舒服嗎？」上述情境中，護理師使用的治療性溝通技巧為何？",6,107,{"webId":59,"stem":60,"number":61,"year":62,"session":29},"nurse-109-1-psychiatric-community-040","王太太有憂鬱症，經常向家人表示：「我會拖累你們，病又不會好，我活著沒什麼意思，真想死了!」，依自殺行為程度分級，最屬於下列何者？",40,109,"2026-09-04",1788510755780]