[{"data":1,"prerenderedAt":47},["ShallowReactive",2],{"q-nurse-111-2-psychiatric-community-008":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-111-2-精神科與社區衛生護理學-008","nurse-111-2-psychiatric-community-008",111,2,8,"羅小姐，30 歲，診斷為雙相情緒障礙症，居家護理師至其家中訪視，發現可能是躁症發作。下列何者為其最可能出現的症狀？",{"A":14,"B":15,"C":16,"D":17},"淡漠、病識感差、思考貧乏","焦慮、身體症狀、睡眠中斷","高昂、活動量大、判斷力差","社交隔離、妄想、音韻連結","C",null,[],"本題考點為雙相情緒障礙症躁症發作的症狀。躁症典型表現為情緒高昂或易怒、活動量大、精力旺盛、睡眠需求減少、判斷力差與衝動行為(如過度消費)。C「高昂、活動量大、判斷力差」正是躁症核心表現,為答案。A「淡漠、病識感差、思考貧乏」偏向思覺失調症的負性症狀;B「焦慮、身體症狀、睡眠中斷」較符合焦慮症或憂鬱表現;D「社交隔離、妄想、音韻連結」偏向思覺失調症的症狀。考點在於辨識躁症「情緒高昂、過動、判斷力受損」的三大特徵,並與思覺失調症負性症狀、焦慮症區隔。",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",6,1783840786175]