[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-113-2-psychiatric-community-006":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"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-113-2-精神科與社區衛生護理學-006","nurse-113-2-psychiatric-community-006",113,2,6,"吳先生，25 歲，唸高中時出現幻聽、被害妄想，開始接受精神科治療，近三個月自行減藥，症狀越來越嚴重，他告訴護理師：「我知道我有精神病，我知道我的病吃藥可以改善，但我就是不想吃那麼多藥。」這是屬於何種病識感？",{"A":14,"B":15,"C":16,"D":17},"無病識感（no insight）","理智性病識感（intellectual insight）","部分病識感（partial insight）","情感性病識感（true emotional insight）","B",null,[],"本題考點在於病識感(insight)的分類。病識感指病人對自身罹病的認知程度,分為無病識感、理智性病識感與真正情感性病識感。個案能陳述「我知道我有病、吃藥可以改善」顯示他理智上承認生病與治療益處,但「就是不想吃那麼多藥」代表情感上未真正接受、無法轉化為持續服藥的行動。B 正確:這種「知道卻做不到」正是理智性病識感(intellectual insight),故為答案。A 無病識感是完全否認生病,與個案陳述不符。C 部分病識感指僅承認部分症狀或間歇承認,個案已完整認知疾病與治療。D 真正情感性病識感應能將認知內化並帶動行為改變(規律服藥),個案顯然未達此層次。","病識感三層次:無病識感(否認有病)→理智性(理性承認有病與治療,但不改變行為)→真正情感性(深層領悟並落實行動)。臨床鑑別關鍵在「認知是否轉為行為」:理智性病識感者常見『我知道但我不做』,是治療遵從性的重要指標。真正情感性病識感是精神復健的目標。記憶:嘴上懂、行動不改=理智性。",[24,27,29,31],{"term":25,"count":26},"病識感分類",1,{"term":28,"count":26},"理智性病識感",{"term":30,"count":26},"真正情感性病識感",{"term":32,"count":26},"治療遵從性",[34,38,43,47,52,57],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-113-2-psychiatric-community-007","有關家庭治療，下列敘述何者最適切？",7,{"webId":39,"stem":40,"number":41,"year":42,"session":26},"nurse-114-1-psychiatric-community-003","根據DSM-5診斷準則，有關精神疾病的診斷及臨床表徵，下列敘述何者正確？",3,114,{"webId":44,"stem":45,"number":46,"year":42,"session":10},"nurse-114-2-psychiatric-community-047","依據護理機構分類設置標準，有關護理之家之敘述，下列何者最不適當？",47,{"webId":48,"stem":49,"number":50,"year":51,"session":26},"nurse-106-1-psychiatric-community-045","社區衛生護理師對 1,000 位 65 歲以上居民進行血膽固醇篩檢，發現其中有 250 人的血膽固醇值超過正常，經過 1 年，再邀請這 1,000 位受檢者回診，發現有 300 人的血膽固醇值超過正常，下列敘述何項正確？",45,106,{"webId":53,"stem":54,"number":55,"year":56,"session":10},"nurse-107-2-psychiatric-community-009","團體治療過程中張先生和史先生因意見不合而互相爭執，張先生因此憤而離開團體，使團體瀰漫著不安的氣氛，團體治療者的處置，下列何者正確？①中斷團體的進行安撫史先生 ②強調成員應遵守團體規範 ③允許害怕的成員暫時離開團體 ④鼓勵成員表達此時的感受",9,107,{"webId":58,"stem":59,"number":60,"year":61,"session":26},"nurse-109-1-psychiatric-community-043","社區護理師在遊民集散地的公共廁所，設置免費保險套裝置是何種預防層級？",43,109,"2026-09-04",1788510755815]