[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-114-1-psychiatric-community-012":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":35,"lastmod":65},"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-114-1-精神科與社區衛生護理學-012","nurse-114-1-psychiatric-community-012",114,1,12,"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？",{"A":14,"B":15,"C":16,"D":17},"請他保證不再干擾鄰居就可以回家","跟他說必須住滿三個月才可考慮出院","引導他表達自己會住院的過程","跟他說只要配合吃藥就可以出院","C",null,[],"本題考點在於缺乏病識感、否認住院之思覺失調症個案的溝通策略。依治療性溝通原則，此時應以同理、不批判的態度引導病人表達其對住院經過的看法與感受，以建立信任並漸進處理病識感，故選 C。A「保證不再干擾就能回家」是不切實際的承諾，護理師無權也不應以此交換。B「必須住滿三個月」屬武斷、威脅式的資訊，且非事實，會加深對立。D「配合吃藥就可出院」同樣以出院為交換條件誘導服藥，屬操控式溝通，未處理病人真正的困惑。四者中唯 C 採開放引導、聚焦病人主觀經驗，符合治療性溝通，故正解為 C。","病識感缺乏是思覺失調症常見特徵，強迫說服「你有病」只會激化防衛。治療性溝通先傾聽、接納其主觀經驗，再從病人自陳的困擾切入，是建立治療同盟與後續衛教的基礎。避免威脅、賄賂、空泛保證三種無效溝通。",[24,27,30,33],{"term":25,"count":26},"治療性溝通",46,{"term":28,"count":29},"思覺失調症",17,{"term":31,"count":32},"病識感",11,{"term":34,"count":32},"治療性關係",[36,40,45,50,55,60],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-114-1-psychiatric-community-013","承上題，住院第二天，陳同學表示我的父母一定是假的，否則不會將自己的小孩抓來住院。下列護理師的回答何者最適當？",13,{"webId":41,"stem":42,"number":43,"year":9,"session":44},"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":46,"stem":47,"number":44,"year":48,"session":49},"nurse-115-2-psychiatric-community-003","精神病人擅自離開精神照護機構，行蹤不明時，依據民國 111 年公布之精神衛生法，下列何者處置最適當？",115,2,{"webId":51,"stem":52,"number":53,"year":54,"session":49},"nurse-106-2-psychiatric-community-071","某生參加大隊接力後，突冒冷汗、手發抖，護理師接獲通知，前往現場處理時，應該攜帶下列那些設備至現場？①冰敷袋 ②血壓計 ③彈性繃帶 ④血糖機 ⑤葡萄糖片",71,106,{"webId":56,"stem":57,"number":58,"year":59,"session":49},"nurse-108-2-psychiatric-community-035","在社區精神衛生護理中，精神科護理之家的設立較屬於那種層級之預防工作？",35,108,{"webId":61,"stem":62,"number":63,"year":64,"session":49},"nurse-109-2-psychiatric-community-069","有關改善教職員不適當飲食型態的衛生教育之目的，下列何者最不適切？",69,109,"2026-09-04",1788510758183]