[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-114-1-psychiatric-community-013":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-114-1-精神科與社區衛生護理學-013","nurse-114-1-psychiatric-community-013",114,1,13,"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？",{"A":14,"B":15,"C":16,"D":17},"「你的父母是不得已的」","「你的父母是為你好」","「父母的想法很難瞭解」","「這個想法很困擾你」","D",null,[],"本題考點在於面對妄想內容時的治療性回應原則。依精神科溝通原則，對於妄想（如堅信父母是假的）不應直接爭辯真偽或試圖說服，而應聚焦並反映病人背後的情緒感受，故「這個想法很困擾你」既不否定也不強化妄想，又表達同理，選 D。A「你的父母是不得已的」與 B「你的父母是為你好」皆直接反駁妄想內容、企圖說理，會使病人更堅持妄想並感到不被理解。C「父母的想法很難瞭解」順著妄想脈絡打轉，未回應病人情緒，亦無治療性。四者中唯 D 做到「不辯真假、只映情緒」，故正解為 D。","處理妄想的黃金原則：不強化（不假裝相信）、不爭辯（不硬拗真假）、聚焦感受（reflect feeling）。反映情緒能讓病人感到被理解，降低防衛，也為現實測試鋪路。與病人爭論妄想真偽是精神科最常見的溝通錯誤。",[24,27,30,32],{"term":25,"count":26},"治療性溝通",46,{"term":28,"count":29},"不爭辯原則",2,{"term":31,"count":10},"妄想處理",{"term":33,"count":10},"反映情緒",[35,39,44,49,54,59],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-114-1-psychiatric-community-014","林先生總是表現出自己很優越，看不起醫護人員，認為自己是群體中最重要的人，且擁有特權。護理師針對此自戀行為（narcissistic）之應對方式，下列何者最適切？",14,{"webId":40,"stem":41,"number":42,"year":9,"session":43},"nurse-114-3-psychiatric-community-010","有關解離性失憶症（dissociative amnesia）的護理措施，下列何者最適當？",10,3,{"webId":45,"stem":46,"number":47,"year":48,"session":29},"nurse-115-2-psychiatric-community-004","一位 42 歲女性，診斷憂鬱症，經醫師處方千憂解 duloxetine（Cymbalta ® ）治療。用藥第 7 天返診時，她抱怨最近常感焦慮、緊張、容易出汗、手抖。下列評估或處置，何者最適當？",4,115,{"webId":50,"stem":51,"number":52,"year":53,"session":29},"nurse-106-2-psychiatric-community-072","某高噪音作業的員工其特殊健康檢查結果出現第三級管理，職業衛生護理師的立即處理為何？",72,106,{"webId":55,"stem":56,"number":57,"year":58,"session":29},"nurse-108-2-psychiatric-community-036","有關多元與安全醫療照護環境的敘述，下列何者正確？",36,108,{"webId":60,"stem":61,"number":62,"year":63,"session":29},"nurse-109-2-psychiatric-community-070","有關居家護理的描述，下列何者錯誤？",70,109,"2026-09-04",1788510758200]