[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-115-1-psychiatric-community-016":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":35,"lastmod":65},"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-016","nurse-115-1-psychiatric-community-016",115,1,16,"有關人格障礙症的敘述，下列何者最適切？",{"A":14,"B":15,"C":16,"D":17},"妄想型人格障礙症病人總是選擇孤單的活動","邊緣型人格障礙症病人常見有不穩定的人際關係及明顯的衝動性","孤僻型人格障礙症病人常見具有強烈的自大，對他人缺乏同理心","依賴型人格障礙症病人常見漠視且侵犯他人權益的行為","B",null,[],"本題考點是各類人格障礙症核心特徵的配對。邊緣型人格障礙症的診斷核心即不穩定且緊張的人際關係、不穩定的自我形象與情感,以及明顯衝動性(如揮霍、物質濫用、自傷),故B正確。A錯:總是選擇孤單活動、對人際淡漠是孤僻型(schizoid)的特徵,妄想型(paranoid)的核心是對他人普遍的猜疑與不信任;C錯:強烈自大、需要他人讚美、缺乏同理心是自戀型(narcissistic)的特徵,非孤僻型;D錯:漠視並侵犯他人權益、違反社會規範是反社會型(antisocial),依賴型的核心是過度需要被照顧、順從依附與害怕分離。","人格障礙症三群速記:A群「怪」(妄想型=猜疑、孤僻型=疏離冷淡、思覺失調型=古怪信念與知覺);B群「戲」(反社會=侵權違規、邊緣=不穩定與衝動、做作=誇張引人注意、自戀=自大缺同理);C群「怕」(畏避=怕被批評而退縮、依賴=怕分離而順從、強迫=完美與控制)。邊緣型的關鍵字組合是「害怕被遺棄+理想化與貶抑交替+自傷衝動」,其自傷行為也使它成為精神科病房自殺防範的重點族群。",[24,27,29,31,33],{"term":25,"count":26},"邊緣型人格障礙症",4,{"term":28,"count":10},"人格障礙症A\u002FB\u002FC三群分類",{"term":30,"count":10},"反社會型人格障礙症",{"term":32,"count":10},"自戀型人格障礙症",{"term":34,"count":10},"依賴型人格障礙症",[36,40,45,50,55,60],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-115-1-psychiatric-community-017","林先生經歷暴雨過後家園遭遇土石流，目睹父親死亡，倖存後被診斷為創傷後壓力症（posttraumatic stress disorder），每當下起大雨或看到土石流的新聞，林先生最不可能出現下列何種反應？",17,{"webId":41,"stem":42,"number":43,"year":44,"session":10},"nurse-106-1-psychiatric-community-013","有關選擇性血清素回收抑制劑（selective serotonin reuptake inhibitors, SSRIs），如：fluoxetine （ Prozac）、 sertraline（Zoloft）等藥物之陳述，下列何項正確？①用於治療憂鬱症疾患 ②建議早飯後服用 ③常見噁心、睡眠障礙等副作用 ④抑制突觸後神經細胞對血清素之回收",13,106,{"webId":46,"stem":47,"number":48,"year":44,"session":49},"nurse-106-2-psychiatric-community-027","有關強迫症之敘述，下列何者最正確？",27,2,{"webId":51,"stem":52,"number":53,"year":54,"session":49},"nurse-107-2-psychiatric-community-065","有關食物中毒的處理，下列敘述何者較不適當？",65,107,{"webId":56,"stem":57,"number":58,"year":59,"session":49},"nurse-109-2-psychiatric-community-029","李同學為自閉症類群障礙症病人，某日於團體治療時聽見救護車經過的聲音隨即尖叫拍打頭部，下列何種處置較合宜？",29,109,{"webId":61,"stem":62,"number":63,"year":64,"session":49},"nurse-110-2-psychiatric-community-063","有關社區護理師能夠順利執行家庭護理措施，下列基本原則何者最重要？",63,110,"2026-08-06",1787299089839]