[{"data":1,"prerenderedAt":47},["ShallowReactive",2],{"q-nurse-112-3-psychiatric-community-017":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-112-3-精神科與社區衛生護理學-017","nurse-112-3-psychiatric-community-017",112,3,17,"林同學，20 歲，上台報告時總是會極度恐懼或焦慮，也無法在公共場所用餐，平時會儘量避免與他人交談或互動。林同學最有可能的問題是下列何者？",{"A":14,"B":15,"C":16,"D":17},"社交畏懼症（Social Phobia）","轉化症（Conversion Disorder）","選擇性不語症（Selective Mutism）","廣泛性焦慮症（Generalized Anxiety Disorder）","A",null,[],"本題考點在於社交畏懼症的核心特徵辨識。依 DSM 診斷概念,社交畏懼症(社交焦慮症)的特徵是對社交或公開表現情境(如上台報告、公共場所用餐、與人互動)出現顯著且持續的恐懼或焦慮,並常以逃避行為因應,故林同學症狀最符合 A。B 轉化症是心理衝突轉為神經學症狀(如無法解釋的癱瘓、失明),與社交焦慮無關。C 選擇性不語症指在特定社交場合(如學校)持續無法說話,但在其他情境正常,好發於兒童,題幹並非「特定場合不語」。D 廣泛性焦慮症是對多種生活事件的過度且難控制的擔憂,非侷限於社交表現情境。考點在於區辨焦慮症各亞型。",1,[24,28,32,35,39,43],{"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":31,"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？",2,{"webId":33,"stem":34,"number":10,"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？",{"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",6,1783840788743]