[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-115-1-psychiatric-community-017":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":35,"lastmod":64},"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-017","nurse-115-1-psychiatric-community-017",115,1,17,"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？",{"A":14,"B":15,"C":16,"D":17},"過度的悲痛與罪惡感","人際疏離，無法感受到快樂","失眠、反覆的噩夢","經常重返事故地點","D",null,[],"本題考點是創傷後壓力症(PTSD)的四大症狀群:侵入性症狀(反覆闖入的回憶、噩夢、瞬間重歷其境)、持續逃避創傷相關刺激、認知與情緒的負向改變、警醒與反應性改變。下大雨或土石流新聞屬創傷提醒物,病人典型反應是刻意逃避與創傷有關的地點、活動與情境,因此「經常重返事故地點」與逃避症狀正好相反,是最不可能出現的反應,故選D。A過度悲痛與罪惡感(倖存者內疚)屬認知情緒負向改變;B人際疏離、無法感受快樂亦屬之;C失眠與反覆噩夢屬警醒改變與侵入性症狀,皆為常見表現。","PTSD四症狀群可用「闖、避、負、醒」速記:闖入(回憶、噩夢、重歷其境)、逃避(避人事時地物)、負向認知情緒(自責、疏離、無法快樂)、過度警醒(失眠、易怒、驚嚇反應強)。診斷另要求症狀持續超過一個月且造成功能損害;未滿一個月者屬急性壓力症。倖存者罪惡感(survivor guilt)是災難後常見的心理反應,如本題目睹父親死亡而自責,是災難精神衛生護理的評估重點。",[24,27,29,31,33],{"term":25,"count":26},"倖存者罪惡感",2,{"term":28,"count":10},"PTSD四大症狀群",{"term":30,"count":10},"逃避症狀",{"term":32,"count":10},"侵入性症狀",{"term":34,"count":10},"急性壓力症與PTSD病程區分",[36,40,45,49,54,59],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-115-1-psychiatric-community-018","有關愷他命（ketamine）的敘述，下列何者錯誤？",18,{"webId":41,"stem":42,"number":43,"year":44,"session":10},"nurse-106-1-psychiatric-community-014","護理師評值治療過程及目標的完成，並與病人分享彼此對關係結束的感覺，是屬於治療性人際關係過程中那一期的任務？",14,106,{"webId":46,"stem":47,"number":48,"year":44,"session":26},"nurse-106-2-psychiatric-community-028","有關物質使用障礙症病人之照護過程，下列何者最正確？",28,{"webId":50,"stem":51,"number":52,"year":53,"session":26},"nurse-107-2-psychiatric-community-066","廢棄物處理程序分前、中及最終處置三部分，下列何者為最終處置？",66,107,{"webId":55,"stem":56,"number":57,"year":58,"session":26},"nurse-109-2-psychiatric-community-030","人格違常的護理措施主要針對病人所出現之特殊行為或症狀處理，常見的問題行為下列何者正確？ ①自我傷害 ②操縱 ③衝動行為 ④自我照顧能力缺失",30,109,{"webId":60,"stem":61,"number":62,"year":63,"session":26},"nurse-110-2-psychiatric-community-064","依據 Duvall 的家庭發展階段理論，進行家庭評估主要目的為何？",64,110,"2026-08-06",1787299089845]