[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-114-2-psychiatric-community-014":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-114-2-精神科與社區衛生護理學-014","nurse-114-2-psychiatric-community-014",114,2,14,"思覺失調症病人陳述：「護理師，我聽到我媽媽在廁所說話，聲音吵死了」。下列護理師的回應何者最適當？",{"A":14,"B":15,"C":16,"D":17},"「你說的聲音我也聽到了。」","「你媽媽並沒有在這裡，怎麼會聽到？」","「你亂說，廁所裡沒有任何聲音。」","「聽到這些聲音讓你很困擾。」","D",null,[],"本題考點在於病人出現幻聽時的治療性回應原則。面對幻聽，護理師既不應「附和承認聽到」以免強化幻覺，也不應直接爭辯否定使病人覺得不被理解，正確做法是「表達現實、同時同理病人感受」。D「聽到這些聲音讓你很困擾」既承認病人主觀經驗的困擾（同理），又不肯定幻聽的真實性，故 D 最適當為答案。A 錯，附和「我也聽到了」會強化並肯定幻覺；B 錯，「你媽媽沒在這裡怎麼會聽到」帶質問語氣、否定病人經驗，易引起防衛；C 錯，「你亂說」是直接否定與貶抑，破壞信任關係。核心在同理感受但不強化幻覺內容。","幻聽照護三原則：(1) 不爭辯真偽、不附和；(2) 反映並同理病人的情緒困擾；(3) 適時以現實為基礎（present reality）溫和澄清「我沒有聽到聲音，但我相信這讓你很不安」。並評估幻聽內容是否為命令式幻聽（command hallucination），因其與自傷或傷人風險相關，需優先安全評估。",[24,27,30,32],{"term":25,"count":26},"治療性溝通",46,{"term":28,"count":29},"幻聽處置",1,{"term":31,"count":29},"同理與現實呈現",{"term":33,"count":29},"命令式幻聽風險",[35,39,44,49,54,59],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-114-2-psychiatric-community-015","護理師依創傷知情照護（trauma-informed care）的要素與原則，協助病人處理創傷經驗時，下列何者最不適當？",15,{"webId":40,"stem":41,"number":42,"year":43,"session":29},"nurse-115-1-psychiatric-community-011","謝先生，診斷為雙相情緒障礙症，因要求外出抽菸未獲同意，在病室內摔東西。下列何項護理措施最適宜？",11,115,{"webId":45,"stem":46,"number":47,"year":48,"session":29},"nurse-106-1-psychiatric-community-005","謝先生因思覺失調症（schizophrenia）住院，在許護理師上班時經常對她出現吵鬧、依賴或討好等行為，許護理師了解這是謝先生對自己的情感轉移，進而提供適當的護理措施，下列何者最不適宜？",5,106,{"webId":50,"stem":51,"number":52,"year":53,"session":29},"nurse-107-1-psychiatric-community-043","有關社區夥伴關係之敘述，下列何者錯誤？",43,107,{"webId":55,"stem":56,"number":57,"year":58,"session":29},"nurse-109-1-psychiatric-community-007","統整是老人的發展任務，老年人在做生命回顧時，發現時光飛逝，浪費光陰，因而感到懊悔，出現焦慮不安。此為下列那位學者所提出之理論？",7,109,{"webId":60,"stem":61,"number":62,"year":63,"session":29},"nurse-110-1-psychiatric-community-041","熟悉流行病學與生命統計資料，分析與運用相關健康數據以監測社區計畫成效，是屬於社區護理師應具備的何種能力？",41,110,"2026-09-04",1788510760509]