[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-114-3-psychiatric-community-010":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"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-010","nurse-114-3-psychiatric-community-010",114,3,10,"有關解離性失憶症（dissociative amnesia）的護理措施，下列何者最適當？",{"A":14,"B":15,"C":16,"D":17},"主要目標為將病人缺損的記憶回憶起來","因應日常生活嚴重失能情形","引導病人表達情緒和感受","鼓勵病人將注意力聚焦於身體症狀","C",null,[],"本題考點在於解離性失憶症的護理措施。此症的失憶源於心理創傷的防衛,護理重點在建立安全信任關係、引導病人表達與宣洩情緒和感受,協助面對潛藏的壓力來源,故 C 正確。A 錯,強行『把缺損記憶回憶起來』並非主要目標,勉強挖掘反可能造成二度創傷;B 錯,解離性失憶症通常不會導致日常生活嚴重失能,此描述與病況不符;D 錯,鼓勵病人專注於身體症狀反而強化病態關注,不利復原。","解離性失憶症的記憶缺損多為與創傷相關的自傳式記憶,程序性記憶與一般認知功能通常完好,故日常自理多可維持。護理採支持性、非強迫的態度,提供安全環境讓情緒逐步整合,記憶常隨壓力緩解自然恢復;必要時配合心理治療,而非施壓逼迫回憶。",[24,27,29,31],{"term":25,"count":26},"解離性失憶症",1,{"term":28,"count":26},"引導表達情緒",{"term":30,"count":26},"安全信任關係",{"term":32,"count":26},"避免強迫回憶",[34,38,44,49,54,59],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-114-3-psychiatric-community-011","楊小姐，診斷第一型雙相情緒障礙症（bipolar I disorder），說話滔滔不絕有意念飛躍現象，情緒高亢，易怒不安，吃飯不專心，洗澡洗頭易分心，入睡困難，近日曾與陌生人發生性行為。下列何項是楊小姐之主要健康問題？①自我照顧能力缺失 ②潛在危險性對自我的暴力行為 ③思考過程改變 ④睡眠型態紊亂",11,{"webId":39,"stem":40,"number":41,"year":42,"session":43},"nurse-115-2-psychiatric-community-007","以下治療性團體中的對話，小芬的回應最能顯示何項團體療效因子？小明：「我覺得我很失敗，一輩子都沒辦法從這種狀態中走出來。」小芬：「我之前也有這種感覺，但從團體中，我學會了接受自己的情緒，還重新找回了工作的方向，你要有信心。」",7,115,2,{"webId":45,"stem":46,"number":47,"year":48,"session":26},"nurse-106-1-psychiatric-community-051","社區有形的資源中，最容易取得但最難掌控者，下列何者正確？",51,106,{"webId":50,"stem":51,"number":52,"year":53,"session":43},"nurse-107-2-psychiatric-community-009","團體治療過程中張先生和史先生因意見不合而互相爭執，張先生因此憤而離開團體，使團體瀰漫著不安的氣氛，團體治療者的處置，下列何者正確？①中斷團體的進行安撫史先生 ②強調成員應遵守團體規範 ③允許害怕的成員暫時離開團體 ④鼓勵成員表達此時的感受",9,107,{"webId":55,"stem":56,"number":57,"year":58,"session":26},"nurse-109-1-psychiatric-community-053","護理師執行社區均衡飲食計畫，下列何者為行為目標的效果評價？",53,109,{"webId":60,"stem":61,"number":41,"year":62,"session":43},"nurse-110-2-psychiatric-community-007","護理師在與病人建立關係的過程中常需要自我坦露（self disclosure），有關自我坦露的敘述，下列何者較適當？",110,"2026-09-04",1788510762772]