[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-113-2-psychiatric-community-018":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-018","nurse-113-2-psychiatric-community-018",113,2,18,"有關物質使用障礙症病人的護理措施，下列敘述何者不適切？",{"A":14,"B":15,"C":16,"D":17},"個案出現妄想時，應增加個案的現實感","個案出現操縱或暴力行為時，予以適當受限","個案使用否認心理防衛機轉時，應協助處理內心衝突","採取批判性態度，譴責其物質使用行為","D",null,[],"本題考點在於物質使用障礙症(substance use disorder)病人的治療性護理態度。護理應採接納、非批判、支持性的態度,協助個案面對問題與內心衝突,而非道德譴責。本題為反向題,不適切者為 D:「採取批判性態度、譴責其物質使用行為」屬反治療性態度,會增加防衛與羞愧、破壞治療關係,故 D 為答案。A 個案出現妄想時增加現實感,屬適當的現實導向。B 出現操縱或暴力行為時予以適當設限,符合行為界限原則。C 個案使用否認防衛機轉時協助處理內心衝突,是治療性介入。考點在於物質使用障礙的護理採非批判、接納態度,譴責與道德化是禁忌。","成癮護理核心是治療同盟與動機式晤談(motivational interviewing),以同理、非批判、避免爭辯強化改變動機。否認是成癮者常見防衛,需溫和面質並協助覺察;操縱行為需一致設限。批判與譴責會引發羞愧、阻斷求助,是反治療性態度。記憶:成癮照護不做道德審判,接納加設限並行。",[24,27,29,32],{"term":25,"count":26},"行為設限",4,{"term":28,"count":10},"非批判態度",{"term":30,"count":31},"物質使用障礙護理",1,{"term":33,"count":31},"否認防衛機轉",[35,39,44,49,54,59],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-113-2-psychiatric-community-019","有關行為治療應用的情境，下列何者最適切？",19,{"webId":40,"stem":41,"number":42,"year":43,"session":31},"nurse-114-1-psychiatric-community-015","有關創傷後壓力症（posttraumatic stress disorder）的敘述，下列何者最適切？",15,114,{"webId":45,"stem":46,"number":47,"year":43,"session":48},"nurse-114-3-psychiatric-community-009","有關創傷後壓力症（posttraumatic stress disorder），下列敘述何者最不適當？",9,3,{"webId":50,"stem":51,"number":52,"year":53,"session":31},"nurse-106-1-psychiatric-community-057","Green 等人於 1980 年提出之 PRECEDE（Predisposing, Reinforcing, and Enabling Causes in Educational Diagnosis and Evaluation）模式中，「流行病學診斷」的主要目的是：",57,106,{"webId":55,"stem":56,"number":57,"year":58,"session":10},"nurse-107-2-psychiatric-community-021","蔡女士，60 歲，罹患思覺失調症（昔稱精神分裂症）已 30 年，自我照顧能力明顯退化，日間常因來不及如廁而尿濕褲子，下列護理措施何者最適當？",21,107,{"webId":60,"stem":61,"number":62,"year":63,"session":31},"nurse-109-1-psychiatric-community-055","根據 Anderson 和 McFarlane（2008）以社區為夥伴的健康評估模式，了解居民與社區中正式與非正式領導人物的互動情形是屬於那一個次系統？",55,109,"2026-09-04",1788510755911]