[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-114-3-psychiatric-community-008":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"lastmod":63},"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-114-3-精神科與社區衛生護理學-008","nurse-114-3-psychiatric-community-008",114,3,8,"李先生的妻女在一次意外事件中相繼過世，有關李先生對此事件的心理調適防衛機轉，下列敘述何者最適當？",{"A":14,"B":15,"C":16,"D":17},"談到妻女過世這件事，有意識的抑制失落的情緒，為潛抑作用（repression）","很平淡的描述完整的事件，彷彿這是發生在他人身上的事件，為隔離作用（isolation）","會談時胸前別一朵白色的花，為轉化作用（conversion）","自責當天自己若不讓妻女出門，就不會發生這件意外，為抵消作用（undoing）","B",null,[],"本題考點在於心理防衛機轉的辨識。李先生平淡完整地描述喪親事件、彷彿事不關己,是把事件與其應有的情緒切割開來,屬隔離作用(isolation),故 B 正確。A 錯,『有意識地』抑制情緒是抑制作用(suppression),潛抑作用(repression)則是不自覺地將痛苦排除於意識之外;C 錯,別白花是哀悼行為,與轉化作用(將心理衝突轉為身體症狀)無關;D 錯,自責『若不讓她們出門就好了』屬罪惡感,並非以象徵性行為抵消衝動的抵消作用。","易混淆對比:隔離=情緒與事件分離(理智化的近親);潛抑(repression)=不自覺遺忘,抑制(suppression)=有意識壓下;轉化(conversion)=心理衝突轉為無器質基礎的身體症狀(如失明、癱瘓);抵消(undoing)=以象徵行為(如反覆洗手)彌補內疚。抓住『有無意識』與『是否轉往身體或行為』即可分辨。",[24,27,29,32],{"term":25,"count":26},"轉化作用",2,{"term":28,"count":26},"抵消作用",{"term":30,"count":31},"隔離作用 isolation",1,{"term":33,"count":31},"潛抑與抑制鑑別",[35,39,44,49,54,59],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-114-3-psychiatric-community-009","有關創傷後壓力症（posttraumatic stress disorder），下列敘述何者最不適當？",9,{"webId":40,"stem":41,"number":42,"year":43,"session":26},"nurse-115-2-psychiatric-community-005","張先生，78 歲，因迷路警察通知家人領回，張先生大聲表示：「我只是想拜訪老王，一時想不起他住那裡，所以才在附近逛逛。」家人感錯愕，因為 1 個月前才陪爸爸參加王先生的葬禮。下列何項最可能是張先生的診斷？",5,115,{"webId":45,"stem":46,"number":47,"year":48,"session":31},"nurse-106-1-psychiatric-community-049","致病模式中之網狀模式較適合用來解釋何種疾病的特性？",49,106,{"webId":50,"stem":51,"number":52,"year":53,"session":26},"nurse-107-2-psychiatric-community-007","下列有關物質使用障礙（substance use disorders）之敘述，何者最適當？",7,107,{"webId":55,"stem":56,"number":57,"year":58,"session":31},"nurse-109-1-psychiatric-community-051","有關依賴人口指數（dependent index）的敘述，下列何者錯誤？",51,109,{"webId":60,"stem":61,"number":42,"year":62,"session":26},"nurse-110-2-psychiatric-community-005","護理師問病人：「100 減 7 是多少？」然後連續減了五個 7。這種方式除了可以評估病人的計算能力外，還可以評估下列何種能力？",110,"2026-09-04",1788510762747]