[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-115-2-psychiatric-community-016":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-115-2-精神科與社區衛生護理學-016","nurse-115-2-psychiatric-community-016",115,2,16,"有關身體症狀障礙症（somatic symptom disorder）的敘述，下列何者最適當？",{"A":14,"B":15,"C":16,"D":17},"身體症狀不會造成日常生活顯著困擾","身體症狀持續時間一般不超過 1 個月","對健康或症狀一直高度焦慮","逃避症狀或健康問題，不願就醫","C",null,[],"本題考點為身體症狀障礙症的診斷特徵。依DSM-5診斷準則,此症病人有一項以上造成困擾的身體症狀,並對症狀或健康出現過度的想法、感受或行為,其中包括對健康或症狀持續的高度焦慮,故C正確。A錯在其身體症狀正會造成日常生活的顯著困擾或功能損害,此為診斷要件之一。B錯在症狀狀態通常持續存在6個月以上,而非不超過1個月。D錯在此類病人多因擔憂症狀而反覆求醫、要求檢查(逛醫院行為),投入過多時間與精力於健康擔憂,並非逃避症狀、不願就醫。","身體症狀相關障礙症家族的鑑別是常考組合:身體症狀障礙症=「有」明顯身體症狀+對症狀過度焦慮與行為反應;罹病焦慮症=身體症狀輕微或無,核心是「怕自己得重病」的先佔意念,又分反覆就醫的照護尋求型與迴避就醫的照護迴避型(選項D的描述較貼近後者,是本題的鑑別陷阱);轉化症=神經學症狀(癱瘓、失明、抽搐)與檢查不符,可伴漠然美麗(la belle indifférence);人為障礙症=刻意偽造症狀以扮演病人角色。照護共同原則:固定同一醫療者、規律約診、不隨症狀起舞加做檢查、逐步將話題由身體轉向情緒與壓力。",[24,27,30,33],{"term":25,"count":26},"身體症狀障礙症",5,{"term":28,"count":29},"DSM-5診斷準則",4,{"term":31,"count":32},"健康焦慮",1,{"term":34,"count":32},"罹病焦慮症鑑別",[36,40,45,49,54,59],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-115-2-psychiatric-community-017","有關酒精戒斷症狀的陳述，下列何者錯誤？",17,{"webId":41,"stem":42,"number":43,"year":44,"session":32},"nurse-106-1-psychiatric-community-063","家庭護理最終的目標，下列何者正確？",63,106,{"webId":46,"stem":47,"number":48,"year":44,"session":10},"nurse-106-2-psychiatric-community-077","某長者預約社區內醫療院所的老人健康檢查，但名額已滿。這代表該社區的老人健康檢查資源的那一項特性不足？",77,{"webId":50,"stem":51,"number":52,"year":53,"session":10},"nurse-108-2-psychiatric-community-035","在社區精神衛生護理中，精神科護理之家的設立較屬於那種層級之預防工作？",35,108,{"webId":55,"stem":56,"number":57,"year":58,"session":10},"nurse-109-2-psychiatric-community-079","下列何項血液檢查可以反映出糖尿病病人長期血糖控制是否良好？",79,109,{"webId":60,"stem":61,"number":62,"year":63,"session":32},"nurse-111-1-psychiatric-community-033","有關輕度失智症病人的護理措施，下列何者最適當？",33,111,"2026-08-06",1787299016913]