[{"data":1,"prerenderedAt":62},["ShallowReactive",2],{"q-nurse-115-2-psychiatric-community-018":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"lastmod":61},"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-018","nurse-115-2-psychiatric-community-018",115,2,18,"有關厭食症（anorexia nervosa）的敘述，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"可分為節制型和嗜食／清除型二種亞型","清除行為包含不當使用瀉劑，或者進行自我催吐","身體質量指數（BMI）小於 16 kg\u002Fm 2 仍屬正常範圍","扭曲的身體心像是厭食症的特徵之一","C",null,[],"本題考點為厭食症的診斷特徵與嚴重度判讀,選出錯誤敘述。成人BMI正常範圍約18.5–24 kg\u002Fm²,而依DSM-5厭食症嚴重度分級,BMI 15–15.99屬重度、低於15屬極重度,故BMI小於16 kg\u002Fm²已是重度以上的低體重狀態,絕非正常範圍,C敘述錯誤,為本題答案。A正確,厭食症依有無暴食與清除行為分為節制型和嗜食\u002F清除型兩亞型。B正確,清除行為包含自我催吐、不當使用瀉劑、利尿劑或灌腸等。D正確,對自己體重與身材的知覺扭曲(明明過瘦仍覺得胖)的身體心像障礙,是厭食症的核心特徵之一。","DSM-5厭食症嚴重度以BMI分級:輕度≥17、中度16–16.99、重度15–15.99、極重度\u003C15,搭配台灣成人BMI正常值18.5–24記憶即可秒殺此類選項。厭食症與暴食症的關鍵鑑別在「體重」:厭食症體重顯著過低,暴食症體重多正常或過重;兩者都可有催吐等清除行為,故清除行為不是鑑別點。厭食症的內科併發症是進階考點:心搏過緩、低血壓、低體溫、電解質失衡(催吐致低血鉀、代謝性鹼中毒)、停經、骨質疏鬆、胎毛(lanugo);再餵食症候群(refeeding syndrome)以低血磷為特徵,是營養重建期的重要監測項目。",[24,27,29,31],{"term":25,"count":26},"厭食症診斷準則",1,{"term":28,"count":26},"BMI嚴重度分級",{"term":30,"count":26},"身體心像障礙",{"term":32,"count":26},"清除行為",[34,38,43,47,52,56],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-115-2-psychiatric-community-019","小新，診斷自閉症類群障礙，從小就喜歡一個人自己玩，不理人，不太喜歡別人碰觸，不看人，有幾次過馬路當媽媽要帶小新快速通過斑馬線時，小新會尖叫，掙開媽媽，如果出門回家走不同路線，小新也會大吵大鬧，去公園遊樂場最喜歡坐在鞦韆上自我旋轉將鞦韆鍊條扭緊再放開。下列敘述何者正確？",19,{"webId":39,"stem":40,"number":41,"year":42,"session":26},"nurse-106-1-psychiatric-community-065","若當天時間有限，僅夠訪視一個案家，應選擇下列那一個案？",65,106,{"webId":44,"stem":45,"number":46,"year":42,"session":10},"nurse-106-2-psychiatric-community-079","邀請名人或藝人擔任代言人，促進民眾篩檢意願，此種策略根據健康信念模式是屬於何因素？",79,{"webId":48,"stem":49,"number":50,"year":51,"session":10},"nurse-108-2-psychiatric-community-037","有關個人因應與壓力的理論，下列敘述何者正確？①下視丘－腦下垂體－腎上腺軸（HPA）的改變是個人面臨壓力源時主要的調節系統 ②壓力與中樞神經系統前額葉及邊緣系統的改變有關 ③壓力反應與個體之腦幹－運動及感覺皮質區有關 ④災難經驗對個人造成立即心理改變，但不影響個體知覺與性格特性",37,108,{"webId":53,"stem":54,"number":26,"year":55,"session":26},"nurse-110-1-psychiatric-community-001","依據現行精神衛生法，基於對精神病人的保護，經專科醫師診斷或鑑定，屬嚴重病人者，應置保護人一人。專科醫師應開具診斷證明書交付保護人，此保護人應考量嚴重病人利益。依條文敘述保護人可為：①監護人 ②法定代理人 ③同居人 ④配偶 ⑤父母 ⑥家屬 ⑦心理師",110,{"webId":57,"stem":58,"number":59,"year":60,"session":26},"nurse-111-1-psychiatric-community-035","病人跟護理師說：「我好想死！沒有她，我真的活不下去。」下列何項護理措施最適當？",35,111,"2026-08-06",1787299016940]