[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-113-2-psychiatric-community-023":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"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":10},"nurse-113-2-精神科與社區衛生護理學-023","nurse-113-2-psychiatric-community-023",113,2,23,"錢先生，36 歲，罹病 10 年，由父母照顧提供其生活所需。日常與家人相處時多言語衝突，指責父母。案父與病人多各說各話，案父尋求居家護理師協助。此情境下，精神科居家護理師最優先的照護目標為何？",{"A":14,"B":15,"C":16,"D":17},"促進案家互動式溝通","改善案家家庭經濟","進行身體健康評估","教導病人壓力因應","A",null,[],"本題考點在於精神科居家護理的優先照護目標,依家庭系統與問題核心設定。個案罹病 10 年由父母照顧,主要問題是與家人言語衝突、彼此各說各話、溝通不良,案父也因此求助。A 正確:此情境最優先目標為促進案家的互動式溝通,改善家庭成員間的溝通模式與衝突,直接對應核心問題,故為答案。B 改善家庭經濟並非本情境陳述的主要困擾。C 進行身體健康評估雖屬居家護理常規,但非此情境最優先議題。D 教導病人壓力因應僅針對病人個人,忽略問題的家庭互動本質。考點在於辨識問題核心屬家庭溝通議題,故優先介入家庭互動溝通。","精神科居家護理以家庭為單位,評估家庭互動、照顧者負荷與溝通模式。此案衝突與『各說各話』顯示溝通功能失調,介入應促進雙向、建設性的互動式溝通(積極傾聽、我訊息表達、降低批評與敵意)。優先目標的判斷原則是緊扣求助原因與核心問題。記憶:題目點出的是溝通衝突,答案就對準溝通。",[24,26,29,31],{"term":25,"count":10},"精神科居家護理",{"term":27,"count":28},"家庭互動式溝通",1,{"term":30,"count":28},"照顧者議題",{"term":32,"count":28},"問題核心導向",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-113-2-psychiatric-community-024","有關暴力行為之導因，下列敘述何者正確？",24,{"webId":39,"stem":40,"number":41,"year":42,"session":28},"nurse-114-1-psychiatric-community-020","有關老年憂鬱症的敘述，下列何者最不適切？",20,114,{"webId":44,"stem":45,"number":46,"year":42,"session":47},"nurse-114-3-psychiatric-community-014","有關憂鬱症，下列敘述何者適當？①甲狀腺功能過高 ②症狀持續至少六個月 ③腦中血清素不足 ④女性發生率大於男性",14,3,{"webId":49,"stem":50,"number":51,"year":52,"session":28},"nurse-106-1-psychiatric-community-062","下列那個評估工具，可用以了解家庭遺傳性疾病及世代間的關係？",62,106,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-107-2-psychiatric-community-026","李太太呈現記憶力障礙，對人名及新近發生的事很快就忘記，護理師與李太太建立關係初期，應採何種方式較適當？",26,107,{"webId":59,"stem":60,"number":61,"year":62,"session":28},"nurse-109-1-psychiatric-community-060","依據 Pender 健康促進模式，護理師引導李小姐審思維持目前久坐少動行為問題的價值，因而有改變行為的想法，與其設定可達成但具挑戰性的目標，鼓勵持續參與運動社團及少坐多動，也鼓勵李小姐記錄運動和少坐的頻率與運動和少坐帶來的好處之關聯，並給予正向回饋，讓李小姐由成功的經驗，增強信心與動機。以上敘述運用到那些行為改變策略？①自我再評估 ②設定改變的目標 ③處理障礙因子 ④提升自我效能 ⑤強化改變的效益 ⑥訂定契約",60,109,"2026-09-04",1788510755955]