[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-115-1-psychiatric-community-019":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":32,"lastmod":62},"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":10},"nurse-115-1-精神科與社區衛生護理學-019","nurse-115-1-psychiatric-community-019",115,1,19,"小華的媽媽抱怨，小華很聰明、人緣好，但就是認字很差，文章表達不清楚。下列何項是小華最可能出現的診斷？",{"A":14,"B":15,"C":16,"D":17},"抽搐症","行為規範障礙症","閱讀障礙症","自閉症","C",null,[],"本題考點是特定的學習障礙症之辨識。小華智力正常(很聰明)、社交功能良好(人緣好),但在認字與文章書寫表達出現與智力和年齡不相稱的顯著困難,符合特定的學習障礙症中閱讀障礙(dyslexia)的表現:識字正確性與流暢度、閱讀理解或書寫表達低於同齡預期,且無法以智能不足或感官缺損解釋,故C正確。A抽搐症以不自主的動作或聲語抽搐為主,與識字無關;B行為規範障礙症是持續侵犯他人權益、違反社會規範的行為問題,題中無此描述;D自閉症核心是社交溝通缺損與侷限重複行為,小華人緣好即不符。","特定的學習障礙症的診斷關鍵是「能力落差」:整體智力正常,但特定學業技能(閱讀、書寫、數學)顯著低於年齡預期,並排除智能不足、感官障礙與教育剝奪。與其他兒童期疾患的快速鑑別:自閉症看「社交+重複行為」、注意力不足過動症看「不專注+過動衝動」、行為規範障礙症看「侵權違規」、抽搐症看「不自主動作聲語」。題幹給的「聰明、人緣好」正是出題者刻意排除自閉症與智能問題的線索,學會讀這類「排除線索」可大幅提升答題速度。",[24,26,28,30],{"term":25,"count":10},"特定的學習障礙症",{"term":27,"count":10},"閱讀障礙(dyslexia)",{"term":29,"count":10},"能力與智力落差",{"term":31,"count":10},"兒童期精神疾患鑑別",[33,37,42,47,52,57],{"webId":34,"stem":35,"number":36,"year":9,"session":10},"nurse-115-1-psychiatric-community-020","陳女士，70歲，診斷為思覺失調症，因出現明顯精神症狀而入院治療。下列何項入院護理照護最適切？",20,{"webId":38,"stem":39,"number":40,"year":41,"session":10},"nurse-106-1-psychiatric-community-016","王先生，32 歲，診斷為思覺失調症（schizophrenia），入院第 3 天，白天躺床拒絕參加病室活動，表示自己晚上都睡不好，因為平時沒那麼早睡，醫院作息太早睡了，很不習慣。為協助王先生改善睡眠，下列那一項措施最適合？",16,106,{"webId":43,"stem":44,"number":45,"year":41,"session":46},"nurse-106-2-psychiatric-community-030","承上題，護理師提供陳太太的護理措施中，下列何者最適當？①漸進引導回顧創傷過程 ②鼓勵陳太太面對現實，不要沉浸悲傷中 ③適時陪伴及傾聽 ④運用團體治療過程互相支持",30,2,{"webId":48,"stem":49,"number":50,"year":51,"session":46},"nurse-107-2-psychiatric-community-068","下列何者符合家族網（kin network）的特徵？",68,107,{"webId":53,"stem":54,"number":55,"year":56,"session":46},"nurse-109-2-psychiatric-community-032","李小姐因厭食症住進精神科急性病房，身高 158 公分，體重由原 56 公斤，在半年內降至 36 公斤，因在家昏厥而入院，於靜脈注射後已恢復意識，但不願進食，住院第一週首要的護理措施為何？",32,109,{"webId":58,"stem":59,"number":60,"year":61,"session":46},"nurse-110-2-psychiatric-community-066","有關原住民族在人口學的措施，下列健康政策的敘述何者最不適當？",66,110,"2026-08-06",1787299089868]