[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-113-2-psychiatric-community-008":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-008","nurse-113-2-psychiatric-community-008",113,2,8,"趙女士，在病房內出現未滿足其需求時，便威脅要撞牆。下列護理措施何者最適宜？",{"A":14,"B":15,"C":16,"D":17},"配合病人要求以減少傷害","提供病人界限清楚的環境設限","忽視病人撞牆行為","限制病人行動","B",null,[],"本題考點在於操縱性與威脅性行為(以自傷威脅換取需求)的行為設限(limit setting)。個案以威脅撞牆來操縱他人滿足需求,護理應提供界限清楚且一致的環境設限,既保障安全又不強化操縱行為。B 正確:提供界限清楚的環境設限,明確告知可接受與不可接受行為,故為最適宜、即答案。A「配合病人要求以減少傷害」等於屈服於威脅、強化操縱行為,適得其反。C「忽視撞牆行為」可能危及安全,且無法建立適當界限。D「限制病人行動」屬過度約束,非首選且可能升高衝突。考點在於面對操縱行為採一致性行為設限,而非妥協或懲罰性約束。","行為設限原則:界限要清楚、一致、可執行,並事先說明違反後果,全體工作人員態度一致避免分化(splitting)。針對操縱行為,妥協會增強行為(負增強),忽視安全風險則失職,故取中道:明確界限加安全監測。常見於邊緣型人格與操縱性個案。記憶:設限=清楚一致的界限,不妥協也不懲罰。",[24,27,30,32],{"term":25,"count":26},"行為設限",4,{"term":28,"count":29},"操縱性行為",1,{"term":31,"count":29},"界限一致性",{"term":33,"count":29},"自傷威脅處置",[35,39,44,48,53,58],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-113-2-psychiatric-community-009","提供躁症發作（manic episode）病人的住院環境，下列考量何者較為適宜？①環境簡化，壁飾窗簾都應避免 ②家具擺放避免病人跌撞或暴力破壞 ③提供能消耗體力的活動與設施 ④病房伙食準備高熱量簡便食物",9,{"webId":40,"stem":41,"number":42,"year":43,"session":29},"nurse-114-1-psychiatric-community-005","護理師詢問病人「您幾歲？」，病人回答「38歲」，再繼續問病人「之前的工作服務多久？」，病人仍回答「38歲」，病人對之後的問題皆回答「38歲」。此現象屬於下列何種症狀？",5,114,{"webId":45,"stem":46,"number":47,"year":43,"session":10},"nurse-114-2-psychiatric-community-049","有關中老年族群健康生活型態的護理指導，下列何者最適當？",49,{"webId":49,"stem":50,"number":51,"year":52,"session":29},"nurse-106-1-psychiatric-community-047","為老人施打流感疫苗，是屬於那一種傳染病防治策略？",47,106,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-107-2-psychiatric-community-011","理情行為療法（rational emotive behavior therapy, REBT），常利用家庭作業來訓練個案分析自己的信念，並學習合理的思考方式，有關其步驟之陳述，下列何者正確？①正確的描寫情緒 ②記錄導致情緒反應的客觀事件 ③找出不可替代的合理信念 ④記錄個案對此客觀事件的內在信念",11,107,{"webId":59,"stem":60,"number":61,"year":62,"session":29},"nurse-109-1-psychiatric-community-045","為預防罹患糖尿病，注意營養攝取、建立運動習慣及定期健康檢查是屬於三段五級的那一級？",45,109,"2026-09-04",1788510755831]