[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-114-2-psychiatric-community-017":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-017","nurse-114-2-psychiatric-community-017",114,2,17,"承上題，對於李同學應採取的護理措施，下列何者最適當？",{"A":14,"B":15,"C":16,"D":17},"衛教李同學及家長，不必特別處置，數天內症狀就會緩解","持續更縝密的神經學檢查，直到找出神經學病因","讓李同學請病假，不用考試，以移除壓力源","症狀可藉由暗示、建議或藥物催眠會談得到改善","D",null,[],"本題考點在於轉化症的治療與護理原則。承上題個案為轉化症，其症狀源於潛意識心理衝突，治療重點在減壓與心理處置，臨床上症狀可透過暗示、建議或藥物催眠會談（如 amytal interview）等方式改善，故 D 最適當為答案。A 錯，「不必特別處置、數天內自然緩解」忽視潛在心理壓力源，且過度輕忽衛教並不適當；B 錯，神經學檢查已證實功能正常，再持續縝密檢查反而強化病人對身體症狀的關注（強化病態行為）；C 錯，讓病人請假免考以移除壓力，等於直接滿足其潛在的次級獲益（secondary gain），會強化症狀反覆出現。核心在心理處置而非強化病態或滿足次級獲益。","護理原則：接納症狀真實存在（非裝病）、不過度關注身體症狀、協助以言語表達情緒衝突、鼓勵正常活動並減少次級獲益。次級獲益指藉症狀逃避責任或獲得關注，若被滿足會維持症狀。amytal 或催眠會談可協助病人在放鬆下表達被壓抑的衝突。",[24,27,30,32],{"term":25,"count":26},"次級獲益",3,{"term":28,"count":29},"轉化症治療",1,{"term":31,"count":29},"藥物催眠會談",{"term":33,"count":29},"減少症狀強化",[35,39,44,49,54,59],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-114-2-psychiatric-community-018","有關物質使用障礙症所指的耐受性（tolerance），下列敘述何者錯誤？",18,{"webId":40,"stem":41,"number":42,"year":43,"session":29},"nurse-115-1-psychiatric-community-014","吳先生，診斷為思覺失調症，近期被害妄想嚴重，拒絕服藥，因擔心鄰居窺看，將所有窗戶都貼上牛皮紙。下列何項居家護理處置最適切？",14,115,{"webId":45,"stem":46,"number":47,"year":48,"session":29},"nurse-106-1-psychiatric-community-008","在家庭治療理論中，認為當家庭成員出現功能上的改變，會影響其他成員，且主張偏差行為或心理問題是整個家庭系統的產物，而不是個人單一的問題，此為那類學派之理論重點陳述，下列何項正確？",8,106,{"webId":50,"stem":51,"number":52,"year":53,"session":29},"nurse-107-1-psychiatric-community-046","社區護理師提供發展遲緩兒童之早期療育服務，下列何者錯誤？",46,107,{"webId":55,"stem":56,"number":57,"year":58,"session":29},"nurse-109-1-psychiatric-community-010","陳護理師接新住院病人，依據治療性溝通原則與新病人進行會談，下列描述何項是陳護理師較適切的表現？",10,109,{"webId":60,"stem":61,"number":62,"year":63,"session":29},"nurse-110-1-psychiatric-community-044","有關流行病學世代研究法（cohort study），下列何者較適當？①適合研究罕見致癌因子 ②能描述疾病之自然史 ③能探討因果關係 ④可能出現訪談誤差（interview bias）",44,110,"2026-09-04",1788510760545]