[{"data":1,"prerenderedAt":47},["ShallowReactive",2],{"q-nurse-111-2-psychiatric-community-019":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-019","nurse-111-2-psychiatric-community-019",111,2,19,"王小姐，與男朋友分手後，出現被跟蹤的感覺，身邊沒有人時卻聽到有人跟她說話，害怕到無法外出工作，且上述症狀持續 1 個月以上。依據 DSM-5 診斷準則，下列何者是王小姐最可能的診斷？",{"A":14,"B":15,"C":16,"D":17},"重度憂鬱症（major depressive disorder）","創傷後壓力症（posttraumatic stress disorder）","思覺失調症（schizophrenia）","強迫症（obsessive-compulsive disorder）","C",null,[],"本題考點是 DSM-5 精神病性症狀的鑑別診斷。個案出現被跟蹤感(被害妄想)與無人時聽見人聲(聽幻覺),符合 DSM-5 思覺失調症準則 A 的活躍期症狀(妄想、幻覺),且症狀持續 1 個月以上、已造成無法外出工作的功能減損,四個選項中以思覺失調症最符合,故選 C。A 重度憂鬱症核心是情緒低落與失去興趣,個案未呈現此主軸。B 創傷後壓力症準則 A 須暴露於死亡、重傷或性暴力等創傷事件,分手不符合此準則。D 強迫症核心是強迫思考與強迫行為,與妄想、幻覺不同。須說明:嚴格依 DSM-5,思覺失調症總病程須達 6 個月,題幹僅述 1 個月以上,但在給定選項中 C 仍是最可能診斷。",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",6,1783840786283]