[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-113-3-psychiatric-community-011":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":11},"nurse-113-3-精神科與社區衛生護理學-011","nurse-113-3-psychiatric-community-011",113,3,11,"有關妄想症狀的護理措施，下列敘述何者最適切？",{"A":14,"B":15,"C":16,"D":17},"以建立治療性關係為首要目標","和病人辯論妄想內容的正確性","藥物治療以鎮靜安眠藥物為主","要儘早面質及修正妄想的內容","A",null,[],"本題考點在於妄想症狀病人的護理措施。最適切為 A：面對妄想病人，應以建立信任的治療性關係為首要目標，才能進一步協助其現實感重建，故選 A。B 錯誤，不應與病人辯論妄想內容的真假，辯論會破壞信任並使病人更堅持；C 錯誤，藥物治療以抗精神病藥物為主，而非鎮靜安眠藥；D 錯誤，過早面質或強行修正妄想只會引發防衛與敵意，並不適當。判斷關鍵在於「先建立信任、不辯論、不否定」的妄想照護原則。","照護妄想病人的核心原則：接納病人的情緒但不強化其妄想內容，既不附和也不辯駁，可運用「表達懷疑」與聚焦現實的技巧，並將話題引導至可驗證的現實與感受。信任關係是一切介入的基礎，藥物以抗精神病藥控制正性症狀。過早面質會使病人退縮或敵對，須待關係穩固後審慎進行現實澄清。",[24,26,28,31],{"term":25,"count":11},"治療性關係",{"term":27,"count":10},"抗精神病藥物",{"term":29,"count":30},"妄想",2,{"term":32,"count":33},"不辯論原則",1,[35,39,44,48,53,58],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-113-3-psychiatric-community-012","陳先生，因鬱症發作，情緒低落，有自殺行為而住院，每日皆會哭泣。有關家屬的照護，下列何項最適宜？",12,{"webId":40,"stem":41,"number":42,"year":43,"session":30},"nurse-114-2-psychiatric-community-008","關於團體療效因子「凝聚力」的敘述，下列何者正確？",8,114,{"webId":45,"stem":46,"number":30,"year":47,"session":33},"nurse-115-1-psychiatric-community-002","向精神病人和家屬說明電痙攣療法對憂鬱症的療效和治療過程，讓他們可以充分了解後再決定簽署同意書，此時醫療人員是秉持下列那一項倫理原則？",115,{"webId":49,"stem":50,"number":51,"year":52,"session":30},"nurse-106-2-psychiatric-community-020","黃先生，診斷思覺失調症，表示自己是調查局南機組幹員，被派到公司臥底，最近他查到公司與某位政府高層有進行一項見不得光的交易，所以被下降頭，護理師的反應下列何者最適當？",20,106,{"webId":54,"stem":55,"number":56,"year":57,"session":30},"nurse-107-2-psychiatric-community-064","有關自我導向學習之敘述，下列何者正確？",64,107,{"webId":59,"stem":60,"number":61,"year":62,"session":30},"nurse-109-2-psychiatric-community-018","丁小姐出現濃妝、著清涼亮麗服飾，主動進入異性的房間，找異性聊天，下列何項措施最適宜？",18,109,"2026-09-04",1788510753505]