[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-115-1-psychiatric-community-015":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"lastmod":63},"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,"explanationDeep":22,"topics":23,"freq":26},"nurse-115-1-精神科與社區衛生護理學-015","nurse-115-1-psychiatric-community-015",115,1,15,"恐慌症（panic disorder）的病人在至少一次恐慌發作後，最有可能會出現下列何種情況？",{"A":14,"B":15,"C":16,"D":17},"更加減少對自己身體感受的關注程度","試圖忽略對下一次發作的擔憂","時常出現解離症狀，以減少現實情境中的恐慌發作","避免現身不熟悉的情境，以免恐慌發作","D",null,[],"本題考點是恐慌症的臨床病程。依DSM-5診斷準則,恐慌症病人在恐慌發作後,至少一個月會持續擔心再次發作或其後果(預期性焦慮),並常出現與發作相關的不良行為改變,典型即迴避不熟悉、難以逃脫或不易求援的情境,嚴重時可發展為特定場所畏懼症(agoraphobia),故D正確。A錯:病人反而對身體感受過度警覺,將心悸、胸悶等訊號災難化解讀;B錯:病人是持續擔憂下一次發作,難以忽略;C錯:解離感可為發作當下的伴隨症狀,並非病人用來減少發作的常見因應方式。","恐慌症的惡性循環:身體感覺(心悸)→災難化解讀(我要心臟病發了)→焦慮升高→交感神經更活化→症狀更強,形成「怕恐慌」的恐懼。預期性焦慮與迴避行為是疾病慢性化與失能的主因,也是認知行為治療的切入點:認知重建打斷災難化解讀,內感受暴露(刻意誘發心悸等感覺)降低對身體訊號的恐懼。與特定場所畏懼症的關係:約有相當比例恐慌症病人因反覆迴避而併發,DSM-5將兩者列為可共病的獨立診斷。",[24,27,29,31],{"term":25,"count":26},"預期性焦慮",3,{"term":28,"count":26},"迴避行為",{"term":30,"count":10},"恐慌症DSM-5準則",{"term":32,"count":10},"特定場所畏懼症",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-115-1-psychiatric-community-016","有關人格障礙症的敘述，下列何者最適切？",16,{"webId":39,"stem":40,"number":41,"year":42,"session":10},"nurse-106-1-psychiatric-community-012","周小姐，28 歲，因情緒起伏大，有多次割腕自傷的病史，此次因服用過量的安眠藥而入院治療，住院後頻打電話要求父母帶外出散心，要求未果則大聲謾罵：「如果你們不來，我就去撞牆！」周小姐的行為反應為下列何者？",12,106,{"webId":44,"stem":45,"number":46,"year":42,"session":47},"nurse-106-2-psychiatric-community-026","下列何種藥物濫用會因長期嗅吸造成鼻中膈穿孔、肺受損及靜脈注射感染疾病？",26,2,{"webId":49,"stem":50,"number":51,"year":52,"session":47},"nurse-107-2-psychiatric-community-064","有關自我導向學習之敘述，下列何者正確？",64,107,{"webId":54,"stem":55,"number":56,"year":57,"session":47},"nurse-109-2-psychiatric-community-028","王同學診斷妄想症，某科考試不及格，出現易怒，無法與人互動，最近因為症狀嚴重故入院治療，住院第 4 天，會談時表示同學們忌妒他成績比較好，都會中傷他，老師也受到其他同學的挑撥，對他特別嚴格，會談中出現哭泣現象，此時護理師的措施何者最適切？",28,109,{"webId":59,"stem":60,"number":61,"year":62,"session":47},"nurse-110-2-psychiatric-community-062","有關家庭內在資源中的軟體結構支持（structure support）下列敘述何者正確？",62,110,"2026-08-06",1787299089813]