[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-106-1-psychiatric-community-012":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"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":26},"nurse-106-1-精神科與社區衛生護理學-012","nurse-106-1-psychiatric-community-012",106,1,12,"周小姐，28 歲，因情緒起伏大，有多次割腕自傷的病史，此次因服用過量的安眠藥而入院治療，住院後頻打電話要求父母帶外出散心，要求未果則大聲謾罵：「如果你們不來，我就去撞牆！」周小姐的行為反應為下列何者？",{"A":14,"B":15,"C":16,"D":17},"衝動行為（impulsive behavior）","操縱行為（manipulate behavior）","破壞行為（destructive behavior）","攻擊行為（aggressive behavior）","B",null,[],"本題考點在區辨邊緣性人格特質病人的行為型態。周小姐以「不帶我出去就去撞牆」要脅,是把自傷當籌碼、藉威脅控制父母順從其要求,符合操縱行為(manipulate behavior)以間接、帶條件手段迫使他人依己意行事的定義,故選B。A衝動行為指未經思考的即時反應(如她過去的割腕),但此處是有目的地談條件。C破壞行為著重毀損物品或環境,題幹並無實際破壞。D攻擊行為指直接指向他人的敵意行動,而她的謾罵威脅是達成外出目的之手段,尚未構成直接攻擊,故三者皆不如B。","邊緣性人格(borderline)核心是情緒不穩、被遺棄恐懼與人際操縱,常見『分裂(splitting)』與以自傷\u002F威脅換取關注。操縱與攻擊的鑑別關鍵在『目的』:操縱是手段性(要換到外出),攻擊是表達敵意本身。護理處置原則是設立一致而清楚的界限、不隨威脅起舞,並辨識威脅背後的情緒需求。相對比:衝動看『有無事先盤算』,破壞看『對象是物或環境』。",[24,27,29,31],{"term":25,"count":26},"操縱行為",3,{"term":28,"count":10},"邊緣性人格障礙症",{"term":30,"count":10},"衝動與攻擊行為鑑別",{"term":32,"count":10},"自傷作為手段",[34,38,43,48,52,57],{"webId":35,"stem":36,"number":37,"year":9,"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,{"webId":39,"stem":40,"number":41,"year":9,"session":42},"nurse-106-2-psychiatric-community-029","陳太太在一次大地震中，親眼目睹自己的家園及女兒被海嘯吞噬，而自己也因躲避海嘯而身體多處受傷。事發後，陳太太出現反覆夢見自己被海嘯吞噬的惡夢，不想參加任何活動，對未來抱持悲觀的心態，且不願談論與海嘯有關的話題，出現失眠、易怒等症狀，症狀持續一個月仍未改善，請問陳太太最可能的診斷為何？",29,2,{"webId":44,"stem":45,"number":46,"year":47,"session":10},"nurse-107-1-psychiatric-community-043","有關社區夥伴關係之敘述，下列何者錯誤？",43,107,{"webId":49,"stem":50,"number":10,"year":51,"session":10},"nurse-109-1-psychiatric-community-001","澎湖縣的王先生為拒絕住院之嚴重病人，需緊急安置強制住院，依據現行精神衛生法得經由下列何者鑑定最為合適？",109,{"webId":53,"stem":54,"number":55,"year":56,"session":10},"nurse-110-1-psychiatric-community-045","有關結核病防治工作敘述，下列何者錯誤？",45,110,{"webId":58,"stem":59,"number":60,"year":61,"session":10},"nurse-111-1-psychiatric-community-079","以腰圍作為代謝症候群指標之一，是因為腹部肥胖可以推估下列何者之多寡？",79,111,"2026-09-04",1788510694662]