[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-114-2-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-114-2-精神科與社區衛生護理學-012","nurse-114-2-psychiatric-community-012",114,2,12,"宋先生，第一型雙相情緒障礙症（bipolarⅠdisorder）躁症發作（manic episode），住院後常語帶操縱或威脅地命令病友，強占遊戲主導權，引起病友公憤。針對宋先生的操縱行為，下列何項護理措施最適當？",{"A":14,"B":15,"C":16,"D":17},"以就事論事的態度給予設限","應以權威式的態度，以免被操縱","為避免衝突，應包容病人的行為","私下協調病友接納病人的行為","A",null,[],"本題考點在於躁症病人操縱行為的護理處置原則。躁症病人常以操縱、威脅、爭奪主導權等行為測試界線，適當做法是以「就事論事、一致而堅定的態度設限（limit setting）」，明確告知可接受與不可接受的行為，故 A 最適當為答案。B 錯，權威、對立的態度易引發衝突與權力鬥爭，反而升高激動；C 錯，一味包容縱容操縱行為，會強化不當行為並影響病室秩序；D 錯，私下協調病友接納其行為並未處理操縱行為本身，且可能造成病友間不公平與紛爭。核心在「非懲罰性、就事論事的一致設限」。","設限原則：態度中性不帶情緒、規則簡單明確、全體工作人員一致執行、聚焦行為而非人格。躁症照護還須注意降低環境刺激、提供高熱量易取食物、維持規律作息。操縱行為的處理避免掉入權力鬥爭，這是與人格障礙照護共通的高頻考點。",[24,27,30,33],{"term":25,"count":26},"躁症發作",8,{"term":28,"count":29},"設限技巧",4,{"term":31,"count":32},"操縱行為",3,{"term":34,"count":10},"就事論事態度",[36,40,46,50,55,60],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-114-2-psychiatric-community-013","有關思覺失調症正性症狀（positive symptoms）之行為表徵，下列何者正確？",13,{"webId":41,"stem":42,"number":43,"year":44,"session":45},"nurse-115-1-psychiatric-community-009","有關思覺失調症病因之描述，下列何項正確？①負性症狀主要與多巴胺活動量過高有關                  ②父母為高情緒表達且互動僵化      ③其發病與遺傳因素有相關           ④病人的自我（ego）功能異常",9,115,1,{"webId":47,"stem":48,"number":32,"year":49,"session":45},"nurse-106-1-psychiatric-community-003","一位從小被父親性侵至大學的 20 歲女大學生，因出現自傷行為而住院。主護護理師與之會談，談及家庭時，認為爸爸是愛她的，承認父親性侵她卻完全記不起來任何一次性侵的過程。但有時突然大哭時卻能詳細說出父親性侵她的過程。此種心理防衛機轉最有可能是下列何項？",106,{"webId":51,"stem":52,"number":53,"year":54,"session":45},"nurse-107-1-psychiatric-community-041","進入社區四處觀察居民生活環境、型態及互動之資料收集方式為何？",41,107,{"webId":56,"stem":57,"number":58,"year":59,"session":45},"nurse-109-1-psychiatric-community-005","林先生，診斷思覺失調症，表情緊張地對護理師說：「我都沒跟別人說話，但是別人都可以知道我在想什麼，知道我所有的秘密。」林先生的描述最符合下列那個症狀？",5,109,{"webId":61,"stem":62,"number":63,"year":64,"session":45},"nurse-110-1-psychiatric-community-039","張先生 40 歲，被診斷為思覺失調症，因出現被害妄想，持長棍於住家樓下，對路過行人出現言語恐嚇之行為。經聯絡警消人員送醫後強制住院治療。入病室後病人出現激躁不安、神情緊張、用力拍門及對病友口出威脅的言語，下列何者是醫護人員應立即採取的措施？",39,110,"2026-09-04",1788510760476]