[{"data":1,"prerenderedAt":71},["ShallowReactive",2],{"q-nurse-108-1-psychiatric-community-015":3},{"subject":4,"prev":5,"next":8,"subjectSlug":11,"subjectFullName":4,"question":12,"related":43,"lastmod":70},"精神科與社區衛生護理學",{"webId":6,"number":7},"nurse-108-1-psychiatric-community-014",14,{"webId":9,"number":10},"nurse-108-1-psychiatric-community-016",16,"psychiatric-community",{"id":13,"webId":14,"year":15,"session":16,"subject":4,"number":17,"stem":18,"scenario":19,"carryOver":19,"options":20,"answer":25,"answerNote":19,"images":26,"explanation":27,"explanationDeep":28,"topics":29,"freq":32,"concepts":39},"nurse-108-1-精神科與社區衛生護理學-015","nurse-108-1-psychiatric-community-015",108,1,15,"王先生，思覺失調症，與護理師談及母親於去年辭世，隨即哈哈大笑表示很思念她。此時王先生的情緒表現最有可能為下列何者？",null,{"A":21,"B":22,"C":23,"D":24},"情感淡漠","矛盾情感","過度欣快","情感低落","B",[],"本題考點是情感(affect)障礙名詞的界定。談及母親辭世卻隨即大笑,呈現的是情緒表達與談話內容不相稱,學理上最精確的名稱是不適切情感(inappropriate affect),但選項未列此項,須在既有選項中取最接近者。A 情感淡漠指反應貧乏、表情平板,與明顯外顯的大笑不符;C 過度欣快是持續而瀰漫的高昂情緒基調,題幹的笑僅出現在特定談話內容;D 情感低落指憂鬱沮喪,與大笑相反。B 矛盾情感描述的是對同一對象並存互相對立的心理狀態,思念亡母的哀傷與發笑並陳,在四個選項中與題幹最接近,故官方答案取 B。","【兩個名詞的嚴格定義】矛盾情感(ambivalence):對同一對象、同一時間並存兩種互相對立的情感或意向,典型是愛與恨並存、想接近又想逃離,行為上表現為猶豫反覆、無法做決定。不適切情感(inappropriate affect):情緒表達與所述內容或所處情境不相稱,如講喪事而大笑、講喜事而落淚。兩者的判準不同——前者看「情感內容是否成對且對立」,後者看「情感與情境是否搭配」。本題選項界線在教材之間確有分歧,部分中文精神科教科書把思覺失調症病人這類情緒與內容脫節的表現,一併收在 Bleuler 4A 的矛盾情感底下討論,這是本題官方答案的來源。\n\n【Bleuler 4A(思覺失調症的基本症狀)】Association 聯想障礙(思考鬆散)、Affect 情感障礙(平板、不適切)、Ambivalence 矛盾情感、Autism 自閉性思考。四個 A 一起記,考選擇題常拆開單獨問。\n\n【情感相關名詞全表】情感平板\u002F淡漠(flat\u002Fblunted affect,反應貧乏)、不適切情感(與內容不符)、情感不穩(labile affect,短時間內劇烈擺盪)、矛盾情感(對立情感並存)、欣快(euphoria,持續高昂)、煩躁不安(dysphoria)、情感低落(depressed mood)、去人格化與現實感喪失(屬知覺而非情感)。\n\n【答題策略】國考遇到「最精確的專有名詞不在選項裡」時,標準做法是逐一排除明顯不符的選項,再取語意涵蓋範圍最接近者,而不是硬把定義套到題幹上。本題 A、C、D 在情緒方向或範圍上都明確牴觸題幹,排除後只剩 B。",[30,33,35,37],{"term":31,"count":32},"Bleuler 4A",2,{"term":34,"count":16},"矛盾情感 ambivalence",{"term":36,"count":16},"不適切情感 inappropriate affect",{"term":38,"count":16},"情感障礙名詞鑑別",[40],{"id":41,"name":42},"psychopathology-assessment","精神症狀學與精神狀態評估",[44,46,50,55,60,65],{"webId":9,"stem":45,"number":10,"year":15,"session":16},"剛入院的思覺失調症病人躲在病房角落，深信將有大批警力要捉捕他入獄。此時最適當的護理措施為下列何者？",{"webId":47,"stem":48,"number":49,"year":15,"session":32},"nurse-108-2-psychiatric-community-032","罹患分離焦慮症（separation anxiety disorder）的兒童，其護理重點為何？①增強病童的安全感 ②增加分離的次數 ③教導病童的因應能力 ④訓練病童的獨立性",32,{"webId":51,"stem":52,"number":53,"year":54,"session":16},"nurse-109-1-psychiatric-community-046","有關流行病學研究法的描述，下列何者正確？",46,109,{"webId":56,"stem":57,"number":58,"year":59,"session":32},"nurse-110-2-psychiatric-community-004","吳女士，診斷思覺失調症，坐在餐桌前，不斷以手拍打桌子，口中喊著說：「怎麼這麼多蟑螂，快來幫忙打蟑螂。」雖然護理師告訴她沒有蟑螂在桌上，但她仍堅持桌上看到許多蟑螂。此為下列何種精神症狀？",4,110,{"webId":61,"stem":62,"number":63,"year":64,"session":32},"nurse-111-2-psychiatric-community-048","下列何項生命統計指標可做為評估國家、社會、經濟和衛生等政策規劃的綜合指標？",48,111,{"webId":66,"stem":67,"number":32,"year":68,"session":69},"nurse-112-3-psychiatric-community-002","病人對護理師說：「你對我真好，不像那個小夜班護理師，好兇喔！他還說你壞話……」，面對病人的分化性行為，護理師提供的護理原則，下列何者正確？①傾聽其想法及動機 ②保持中立的態度與其討論 ③隱藏此事，不必告訴其他護理人員 ④以就事論事的態度與其互動",112,3,"2026-09-29",1790672290665]