[{"data":1,"prerenderedAt":47},["ShallowReactive",2],{"q-nurse-107-2-psychiatric-community-012":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":23},"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,"freq":22},"nurse-107-2-精神科與社區衛生護理學-012","nurse-107-2-psychiatric-community-012",107,2,12,"有關情緒障礙疾患的相關敘述，下列何者最適當？",{"A":14,"B":15,"C":16,"D":17},"更年期後的鬱症，睡眠困擾表現較常是早醒，但不會有入睡困難或中斷睡眠的症狀","若有多次未達躁症程度的輕躁發作，加上憂鬱症狀，則稱之為第二型雙相情緒障礙症（bipolar II disorder）","自尊膨脹誇大、睡眠需求減少、心情易怒，此三症狀出現需持續達六個月，就滿足躁症發作的診斷準則","病人有意念飛躍（flight of idea）時，思考快速且具規畫執行力，不但不損害功能，且能展現令人佩服的執行力與領導力","B",null,[],"本題考點是情緒障礙各診斷的鑑別準則。依 DSM 診斷，第二型雙相情緒障礙症的定義為出現過至少一次輕躁發作（hypomania，未達躁症嚴重度）加上至少一次鬱症發作，B 完全符合此定義，故選 B。A 錯在更年期後鬱症除早醒外，入睡困難與睡眠中斷同樣常見，「不會有」的絕對敘述不成立。C 錯在躁症發作準則的時間是心情高昂／易怒須「持續至少一週」，並非六個月。D 錯在意念飛躍屬思考流程障礙，會使思考跳躍失焦、明顯損害社會與職業功能，並非「展現領導力」。",1,[24,28,31,35,39,43],{"webId":25,"stem":26,"number":22,"year":27,"session":22},"nurse-106-1-psychiatric-community-001","精神衛生法中規定經專科醫師診斷或鑑定屬嚴重病人者，應置保護人 1 人，專科醫師並應開具診斷證明書交付保護人。保護人應考量嚴重病人利益。條文中的保護人可為下列何人？①監護人 ②同居人 ③配偶 ④父母 ⑤家屬 ⑥心理輔導專家 ⑦法定代理人",106,{"webId":29,"stem":30,"number":10,"year":27,"session":22},"nurse-106-1-psychiatric-community-002","護理師在精神科病房帶領團體治療，病友在團體中感謝其他病人對他的接納與信任，分享他從團體中體驗到人與人之間是可以相互信賴，此活動運用下列何項精神護理概念模式？",{"webId":32,"stem":33,"number":34,"year":27,"session":22},"nurse-106-1-psychiatric-community-003","一位從小被父親性侵至大學的 20 歲女大學生，因出現自傷行為而住院。主護護理師與之會談，談及家庭時，認為爸爸是愛她的，承認父親性侵她卻完全記不起來任何一次性侵的過程。但有時突然大哭時卻能詳細說出父親性侵她的過程。此種心理防衛機轉最有可能是下列何項？",3,{"webId":36,"stem":37,"number":38,"year":27,"session":22},"nurse-106-1-psychiatric-community-004","下列有關精神障礙病人的權利，何者正確？",4,{"webId":40,"stem":41,"number":42,"year":27,"session":22},"nurse-106-1-psychiatric-community-005","謝先生因思覺失調症（schizophrenia）住院，在許護理師上班時經常對她出現吵鬧、依賴或討好等行為，許護理師了解這是謝先生對自己的情感轉移，進而提供適當的護理措施，下列何者最不適宜？",5,{"webId":44,"stem":45,"number":46,"year":27,"session":22},"nurse-106-1-psychiatric-community-006","臨床上發現病人有問題行為而需進行行為治療時，護理師在評估病人的問題行為時，應主要觀察的內容，下列何項正確？①在何種情況下（行為前情境）②病人出現何種行為 ③家人的感受 ④行為之後產生什麼結果",6,1783840752385]