[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-113-2-psychiatric-community-010":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":35,"lastmod":64},"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-010","nurse-113-2-psychiatric-community-010",113,2,10,"楊小姐，診斷為思覺失調症，住院後在病床存有大量零食。下列護理措施何者最適切？",{"A":14,"B":15,"C":16,"D":17},"趁病人不注意時，快速把零食收至護理站","鼓勵病人把零食分送給其他病友","與病人會談以理解存放零食的原因","暫停醫院伙食，待零食食用完畢再訂餐","C",null,[],"本題考點在於治療性溝通與行為背後意義的探究。思覺失調症病人在病床囤積大量零食,可能反映妄想(如被下毒的擔憂)、安全感需求或其他心理因素,護理應先了解原因而非直接處置行為。C 正確:與病人會談理解存放零食的原因,才能對症處理,故為最適切、即答案。A「趁不注意快速收走」屬未經同意的強制作為,破壞信任且可能加深妄想或被害感。B「鼓勵分送病友」未處理根本原因,且可能造成病人不安。D「暫停伙食待吃完」不合理且忽視營養與行為意義。考點在於面對症狀相關行為先評估理解其意義,再介入,而非強行移除。","治療性溝通強調先評估行為的功能與意義:囤積可能源於被害妄想、剝奪經驗、控制感需求或認知功能退化。強行取物會被解讀為敵意、加重妄想與不信任。正確流程是建立關係→會談理解→共同協商解決。此題與 splitting、強制介入的錯誤選項形成對比。記憶:先懂行為為什麼,再談怎麼辦。",[24,27,30,33],{"term":25,"count":26},"治療性溝通",46,{"term":28,"count":29},"信任關係建立",4,{"term":31,"count":32},"行為意義評估",1,{"term":34,"count":32},"思覺失調症妄想",[36,40,45,49,54,59],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-113-2-psychiatric-community-011","李小姐為躁症發作病人，大夜班護理師查房時發現李小姐跟男病友一起躺在床上，下列護理措施何者較適宜？①觀察兩人的性互動行為程度 ②將兩人分開持續密切觀察 ③鼓勵學習適切的異性互動 ④將李小姐持續隔離，防範接觸異性",11,{"webId":41,"stem":42,"number":43,"year":44,"session":32},"nurse-114-1-psychiatric-community-007","下列何者不是動機式晤談法（motivational interview）的基本原則？",7,114,{"webId":46,"stem":47,"number":32,"year":44,"session":48},"nurse-114-3-psychiatric-community-001","有關新興影響精神物質（new psychoactive substances, NPS），下列敘述何者最不適當？",3,{"webId":50,"stem":51,"number":52,"year":53,"session":32},"nurse-106-1-psychiatric-community-049","致病模式中之網狀模式較適合用來解釋何種疾病的特性？",49,106,{"webId":55,"stem":56,"number":57,"year":58,"session":10},"nurse-107-2-psychiatric-community-013","朱先生，診斷為思覺失調症（schizophrenia），持續服用第二代抗精神病藥物 clozaril （ clozapine）中，護理師給予身體健康狀態評估時，應注意評估該藥物的副作用，下列何項正確？①顆粒性白血球缺乏症 ②低血糖 ③口水分泌過多 ④代謝症候群",13,107,{"webId":60,"stem":61,"number":62,"year":63,"session":32},"nurse-109-1-psychiatric-community-047","不同廠牌的流感快篩試劑的品質檢測中，A 廠牌檢測的敏感度為 90%，特異度為 95%；B 廠牌的敏感度為 97%，特異度為 86%。下列敘述何者正確？",47,109,"2026-09-04",1788510755860]