[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-114-1-psychiatric-community-014":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":32,"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-114-1-精神科與社區衛生護理學-014","nurse-114-1-psychiatric-community-014",114,1,14,"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？",{"A":14,"B":15,"C":16,"D":17},"持續的讚美病人，滿足其自誇的需求","利用幽默，與病人開玩笑，營造輕鬆的氣氛","為維持病人的自尊，接受病人對醫護人員的貶低","了解病人的自誇行為並持續提供包容，但避免過度讚美","D",null,[],"本題考點在於自戀型（narcissistic）行為病人的護理應對原則。依人格特質護理原則，面對自誇、貶低他人、自認擁有特權的病人，應以理解其行為背後的脆弱自尊為基礎，給予適度包容但避免過度讚美，以免更強化其誇大需求，故選 D。A「持續讚美滿足自誇需求」會助長誇大、鞏固病態，不宜。B「利用幽默開玩笑」可能被病人解讀為輕視或嘲弄，觸怒其敏感自尊。C「接受病人貶低醫護人員」是縱容不當行為、犧牲界限，長期反不利治療關係。四者中唯 D 兼顧接納與界限、不助長誇大，故正解為 D。","自戀行為的核心是誇大外表下脆弱易受傷的自尊。護理策略：維持穩定一致的態度與清楚界限，肯定其真實可取之處但不諂媚，避免權力鬥爭與過度讚美。理解其行為為防衛，能減少反移情帶來的敵意反應。",[24,26,28,30],{"term":25,"count":10},"自戀型人格",{"term":27,"count":10},"治療性界限",{"term":29,"count":10},"脆弱自尊",{"term":31,"count":10},"護理應對",[33,37,42,48,53,58],{"webId":34,"stem":35,"number":36,"year":9,"session":10},"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,{"webId":38,"stem":39,"number":40,"year":9,"session":41},"nurse-114-3-psychiatric-community-011","楊小姐，診斷第一型雙相情緒障礙症（bipolar I disorder），說話滔滔不絕有意念飛躍現象，情緒高亢，易怒不安，吃飯不專心，洗澡洗頭易分心，入睡困難，近日曾與陌生人發生性行為。下列何項是楊小姐之主要健康問題？①自我照顧能力缺失 ②潛在危險性對自我的暴力行為 ③思考過程改變 ④睡眠型態紊亂",11,3,{"webId":43,"stem":44,"number":45,"year":46,"session":47},"nurse-115-2-psychiatric-community-005","張先生，78 歲，因迷路警察通知家人領回，張先生大聲表示：「我只是想拜訪老王，一時想不起他住那裡，所以才在附近逛逛。」家人感錯愕，因為 1 個月前才陪爸爸參加王先生的葬禮。下列何項最可能是張先生的診斷？",5,115,2,{"webId":49,"stem":50,"number":51,"year":52,"session":47},"nurse-106-2-psychiatric-community-073","某工廠員工人數共 238 人，其中從事特別危害健康作業人數為 126 人，依據勞工健康保護規則，該工廠需聘任專任護理師多少人？",73,106,{"webId":54,"stem":55,"number":56,"year":57,"session":47},"nurse-108-2-psychiatric-community-037","有關個人因應與壓力的理論，下列敘述何者正確？①下視丘－腦下垂體－腎上腺軸（HPA）的改變是個人面臨壓力源時主要的調節系統 ②壓力與中樞神經系統前額葉及邊緣系統的改變有關 ③壓力反應與個體之腦幹－運動及感覺皮質區有關 ④災難經驗對個人造成立即心理改變，但不影響個體知覺與性格特性",37,108,{"webId":59,"stem":60,"number":61,"year":62,"session":47},"nurse-109-2-psychiatric-community-071","長期暴露於何種物質的工作環境中，最容易導致罹患帕金森氏症候群？",71,109,"2026-09-04",1788510758203]