[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-114-3-psychiatric-community-023":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":36,"lastmod":65},"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-023","nurse-114-3-psychiatric-community-023",114,3,23,"李先生，診斷思覺失調症（schizophrenia），初住院期間頻找女病友聊天，聲稱自己是木星上的王子降落地球，病房中的女病友皆是他的嬪妃。下列何項護理措施最適當？",{"A":14,"B":15,"C":16,"D":17},"以面質的方式，提醒病人木星沒有人類","安排男性護理師照顧，以免病人出現情感轉移","傾聽但不與病人爭辯其妄想的真實性","提供現實感，提醒勿犯重婚罪","C",null,[],"本題考點在於面對妄想內容時的治療性溝通原則。對抱持誇大妄想的病人,護理師應傾聽以理解其感受與需求,但不介入爭辯妄想的真實性,既不附和也不直接否定,故 C 最適當。A 錯,以面質糾正妄想只會強化防衛、破壞信任;B 錯,更換男性護理師是迴避而非處理,且情感轉移應以專業界限處理而非規避;D 錯,以「重婚罪」等說法質辯妄想內容,等於與病人爭論妄想真偽,同樣不當。核心是接納情緒、不辯真假。","處理妄想的溝通口訣是「不肯定、不否定、談感受」。爭辯會讓病人更堅信妄想並將護理師納入敵對陣營;附和則強化妄想。正確做法是聚焦妄想背後的情緒需求(如不安全、渴望被重視),同時適度提供現實訊息但不強迫接受。建立信任、維持一致的專業界限,是後續現實導向介入的基礎。",[24,27,30,33],{"term":25,"count":26},"治療性溝通",46,{"term":28,"count":29},"信任關係建立",4,{"term":31,"count":32},"不爭辯妄想真實性",2,{"term":34,"count":35},"妄想處理原則",1,[37,41,46,51,56,61],{"webId":38,"stem":39,"number":40,"year":9,"session":10},"nurse-114-3-psychiatric-community-024","張先生為慢性思覺失調症病人，剛住進康復之家，下列何者是張先生最適當的復健目標？",24,{"webId":42,"stem":43,"number":44,"year":45,"session":32},"nurse-115-2-psychiatric-community-020","有關自閉症類群障礙症（autism spectrum disorder, ASD）敘述，下列何者最不適當？",20,115,{"webId":47,"stem":48,"number":49,"year":50,"session":35},"nurse-106-1-psychiatric-community-064","下列那些家庭護理措施屬於第一段預防的措施？①指導老人接受流感預防注射 ②清除居家易積水容器 ③鼓勵中年婦女接受乳房攝影檢查 ④指導中風病人做復健",64,106,{"webId":52,"stem":53,"number":54,"year":55,"session":32},"nurse-107-2-psychiatric-community-022","雙相情緒障礙症病人的誇大言辭，常使用何種心理防衛機轉掩飾內心的無助與自卑？",22,107,{"webId":57,"stem":58,"number":59,"year":60,"session":35},"nurse-109-1-psychiatric-community-066","張先生與張太太首次參加社區成人健康檢查，張先生檢測結果顯示有血糖過高，張太太子宮頸癌篩檢為陽性。衛生所王護理師至張家家庭訪視，追蹤兩人狀況。但抵達張家時，張太太因事外出，只有張先生在家。王護理師為張先生測量血糖，飯後兩小時血糖值為 210 mg\u002FdL，王護理師如何向張先生解釋此數值最為合宜？",66,109,{"webId":62,"stem":63,"number":44,"year":64,"session":32},"nurse-110-2-psychiatric-community-020","憂鬱症病人常伴有退化行為而導致自我照顧能力缺失，護理師提供的相關護理措施，下列何者錯誤？",110,"2026-09-04",1788510762898]