[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-114-2-psychiatric-community-025":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-025","nurse-114-2-psychiatric-community-025",114,2,25,"小美與父親在大地震中雙雙遭震垮的房屋壓住，父親當場不幸過世，小美經過急救後，挽回性命，但雙腿截肢。有關災難倖存者在急性期的反應表現，下列何者最不適當？",{"A":14,"B":15,"C":16,"D":17},"會有揮之不去的印記","因為親人死亡伴隨著罪惡感","出現無端的憤怒","會接納自己與家人的遭遇","D",null,[],"本題考點在於重大災難倖存者急性期的心理反應。急性期（事件後數日至數週）常見反應包括揮之不去的創傷影像與記憶（侵入性回憶）、倖存者罪惡感、無端的憤怒與情緒波動等急性壓力反應。本題為反向題，最不適當者為 D：「會接納自己與家人的遭遇」屬創傷後期整合與復原階段才逐漸出現的狀態，急性期倖存者通常仍處於震驚、否認與情緒混亂，尚無法接納，故 D 錯而為答案。A、B、C 分別描述侵入性印記、罪惡感與無端憤怒，皆為急性期典型反應而正確。掌握「急性期以震驚、侵入、罪惡與憤怒為主，接納屬後期復原」即可作答。","創傷反應時序：急性期（震驚、否認、麻木、侵入性回憶、過度警覺、罪惡與憤怒）→ 中期（情緒起伏、逃避）→ 後期（整合、接納、重建意義）。若急性壓力反應持續逾一個月並符合症狀群，須評估是否進展為創傷後壓力症（PTSD）。急性期介入以心理急救、安全穩定與支持為主，不強迫回憶細節。",[24,27,29,32],{"term":25,"count":26},"創傷後壓力症 PTSD",3,{"term":28,"count":10},"倖存者罪惡感",{"term":30,"count":31},"災難心理反應",1,{"term":33,"count":31},"急性壓力反應",[35,39,44,49,54,59],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-114-2-psychiatric-community-026","有關全民健保的敘述，下列何者錯誤？",26,{"webId":40,"stem":41,"number":42,"year":43,"session":31},"nurse-115-1-psychiatric-community-022","承上題，有關身體約束的相關護理措施，下列敘述何者正確？",22,115,{"webId":45,"stem":46,"number":47,"year":48,"session":31},"nurse-106-1-psychiatric-community-016","王先生，32 歲，診斷為思覺失調症（schizophrenia），入院第 3 天，白天躺床拒絕參加病室活動，表示自己晚上都睡不好，因為平時沒那麼早睡，醫院作息太早睡了，很不習慣。為協助王先生改善睡眠，下列那一項措施最適合？",16,106,{"webId":50,"stem":51,"number":52,"year":53,"session":31},"nurse-107-1-psychiatric-community-054","有關標準化比率之描述，下列何者較不適當？",54,107,{"webId":55,"stem":56,"number":57,"year":58,"session":31},"nurse-109-1-psychiatric-community-018","對於急性期發作的躁症病人，首要的護理措施為何？",18,109,{"webId":60,"stem":61,"number":62,"year":63,"session":31},"nurse-110-1-psychiatric-community-052","依據 Anderson 和 McFarlane（2008）以社區為夥伴模式進行社區評估，下列敘述何者錯誤？",52,110,"2026-09-04",1788510760607]