[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-113-2-psychiatric-community-015":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"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-015","nurse-113-2-psychiatric-community-015",113,2,15,"有關心理防衛機轉，下列敘述何者正確？",{"A":14,"B":15,"C":16,"D":17},"有意識的壓抑自己不應該有的情緒和衝動，是潛抑作用（repression）","藉由建設性的行為，來滿足不被社會所接受的慾望，且對社會有利，是昇華作用（sublimation）","面對痛苦情緒時，可藉由內射作用（introjection）移轉給他人","合理化作用（rationalization）可將原始的慾望，轉移到潛意識層面而無法覺知","B",null,[],"本題考點在於心理防衛機轉(defense mechanisms)的定義辨識。B 正確:昇華作用(sublimation)是將不被社會接受的慾望或衝動,轉化為社會可接受且具建設性的行為(如將攻擊性轉為運動競技),定義正確、即答案。A 錯誤:「有意識地壓抑」是抑制作用(suppression),潛抑作用(repression)是「無意識」地將痛苦記憶排除於意識之外。C 錯誤:將情緒「移轉給他人」的描述較接近投射(projection),內射作用(introjection)是把外界的價值或他人特質「內化吸收」為自己的一部分,方向相反。D 錯誤:合理化作用(rationalization)是為不被接受的行為找看似合理的藉口,而「將慾望轉移到潛意識而無法覺知」描述的是潛抑作用。考點在於精確區辨各防衛機轉的定義。","常混淆的防衛機轉對照:潛抑(repression)=無意識遺忘;抑制(suppression)=有意識壓下;投射(projection)=把自己的感受歸給他人;內射(introjection)=把他人的特質吸收成自己;昇華(sublimation)=衝動導向社會有益活動,屬成熟防衛;合理化(rationalization)=找藉口自圓其說。記憶:昇華是最健康的防衛,潛抑與抑制差在有無意識。",[24,27,30,32],{"term":25,"count":26},"心理防衛機轉",9,{"term":28,"count":29},"昇華作用",1,{"term":31,"count":29},"潛抑與抑制區辨",{"term":33,"count":29},"內射與投射",[35,39,44,49,54,59],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-113-2-psychiatric-community-016","蕭小姐，46 歲，育有二子，因先生外遇，最近離婚後獨居，整日鬱鬱寡歡沉默不語，近日突出現語言障礙，發聲困難及奇異步態，影響日常作息，住院後神經學檢查無異常，下列護理措施何者最適切？",16,{"webId":40,"stem":41,"number":42,"year":43,"session":29},"nurse-114-1-psychiatric-community-012","陳同學19歲，出現怪異行為，診斷為思覺失調症。因為干擾鄰居被送至精神科急性病房住院。入院時，說自己沒有生病，吵著要出院回家。以下何項護理措施最適切？",12,114,{"webId":45,"stem":46,"number":47,"year":43,"session":48},"nurse-114-3-psychiatric-community-006","有關抗焦慮藥戒斷症狀，下列何者正確？",6,3,{"webId":50,"stem":51,"number":52,"year":53,"session":29},"nurse-106-1-psychiatric-community-054","下列造成職業危害的原因，何者與個人因素有關？",54,106,{"webId":55,"stem":56,"number":57,"year":58,"session":10},"nurse-107-2-psychiatric-community-018","林先生，正處於躁症急性期，最近因忙碌進食量減少，目前服用鋰鹽（lithium carbonate），出現腹瀉、手抖、噁心嘔吐等現象，下列何者為最優先的處置？",18,107,{"webId":60,"stem":61,"number":62,"year":63,"session":29},"nurse-109-1-psychiatric-community-052","護理師參加社區所舉辦的「重陽節敬老健走」活動，以了解社區老人的健康體能狀況，此為何種社區評估方法？",52,109,"2026-09-04",1788510755898]