[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-114-1-psychiatric-community-016":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-016","nurse-114-1-psychiatric-community-016",114,1,16,"辛小姐診斷為強迫症，會反覆出現希望妹妹死掉的念頭，且對此感到非常焦慮。所以每當看到妹妹時，就開始在心中默念圓周率的數字以減輕焦慮。下列何項敘述最能說明辛小姐的行為？",{"A":14,"B":15,"C":16,"D":17},"以抵消對妹妹的負面想法","以投射的作用逃避念頭","自我肯定，證明自己的數學好","一種解離性的狀態","A",null,[],"本題考點在於辨識強迫症背後的防衛機轉。依防衛機轉理論，抵消（undoing）指以某一象徵性行為來抵銷或補償先前令自己焦慮的念頭或衝動，題中辛小姐以默念圓周率的儀式來中和「希望妹妹死掉」的負面想法所引發的焦慮，正符合抵消，故選 A。B「投射」是將自身不被接受的念頭歸咎於他人，此處並未把念頭推給別人。C「證明數學好」屬理智化或不相干的動機，並非其行為目的。D「解離狀態」指意識、記憶或身分的斷裂，個案在此意識清楚、只是以儀式減焦慮，並非解離。四者中唯 A 正確對應此儀式性抵消行為，故正解為 A。","強迫症的核心機轉即「強迫思考引發焦慮→強迫行為（抵消儀式）暫時緩解焦慮→負增強而反覆」。抵消是其典型防衛。治療上以暴露不反應法（ERP）打斷此循環，讓個案體驗不做儀式焦慮也會自然下降。",[24,27,30,33],{"term":25,"count":26},"防衛機轉",8,{"term":28,"count":29},"強迫症",6,{"term":31,"count":32},"抵消作用",2,{"term":34,"count":32},"強迫思考與行為",[36,40,45,50,55,60],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-114-1-psychiatric-community-017","有關使用嗎啡之敘述，下列何者正確？",17,{"webId":41,"stem":42,"number":43,"year":9,"session":44},"nurse-114-3-psychiatric-community-013","有關抗鬱劑的衛教，下列敘述何者最適當？",13,3,{"webId":46,"stem":47,"number":48,"year":49,"session":32},"nurse-115-2-psychiatric-community-007","以下治療性團體中的對話，小芬的回應最能顯示何項團體療效因子？小明：「我覺得我很失敗，一輩子都沒辦法從這種狀態中走出來。」小芬：「我之前也有這種感覺，但從團體中，我學會了接受自己的情緒，還重新找回了工作的方向，你要有信心。」",7,115,{"webId":51,"stem":52,"number":53,"year":54,"session":32},"nurse-106-2-psychiatric-community-075","慢性病危險群個案管理需要完整的計畫與防治步驟，其中最優先且重要的是：",75,106,{"webId":56,"stem":57,"number":58,"year":59,"session":32},"nurse-108-2-psychiatric-community-039","針對家庭暴力，護理師的治療性措施，下列敘述何者正確？",39,108,{"webId":61,"stem":62,"number":63,"year":64,"session":32},"nurse-109-2-psychiatric-community-073","有關「長期照顧十年計畫 2.0」對於原住民在長照政策推動的困境原因，下列何者最不適當？",73,109,"2026-09-04",1788510758217]