[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-106-1-psychiatric-community-021":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-106-1-精神科與社區衛生護理學-021","nurse-106-1-psychiatric-community-021",106,1,21,"林女士的診斷最可能為：",{"A":14,"B":15,"C":16,"D":17},"焦慮症（anxiety disorder）","適應障礙症（adjustment disorder）","鬱症（major depressive disorder）","身體症狀障礙（somatic symptom disorder）","C",null,[],"本題考點在依臨床表現鑑別情感性與其他精神疾患。就情境所提供的鬱悶、自責、持續無望與消沉,最符合鬱症(major depressive disorder)的準則:憂鬱情緒或失去興趣達兩週以上,合併食慾、睡眠、無價值感等多項核心症狀,故選C。A焦慮症以過度擔憂、自律神經激發為主,與持續低落的情緒核心不同。B適應障礙症症狀較輕、與壓力源時序密切且不符鬱症完整準則。D身體症狀障礙以過度身體不適與健康焦慮為核心,而非情緒低落,故三者皆不如C。本題部分細節仰賴未完整呈現的情境,把握度標中等。","鬱症診斷需符合 DSM 兩大核心之一(憂鬱情緒\u002F失去興趣)加上共九項中至少五項、持續≥2 週且造成功能受損。與適應障礙的鑑別在『嚴重度與是否達完整準則』;與焦慮症鑑別在『主軸是低落還是擔憂』;與身體症狀障礙鑑別在『主訴是情緒還是身體』。此類鑑別題須回到 DSM 核心症狀清單逐條比對,而非憑單一線索。",[24,26,28,30],{"term":25,"count":10},"鬱症診斷準則",{"term":27,"count":10},"適應障礙鑑別",{"term":29,"count":10},"焦慮症與身體症狀障礙",{"term":31,"count":10},"DSM情緒核心症狀",[33,37,42,47,52,57],{"webId":34,"stem":35,"number":36,"year":9,"session":10},"nurse-106-1-psychiatric-community-022","針對林女士的護理措施，下列何者為最優先考量？",22,{"webId":38,"stem":39,"number":40,"year":9,"session":41},"nurse-106-2-psychiatric-community-038","張先生 70 歲，獨居，因為面臨居住幾十年的違章建築要被拆除，張先生一直以死抗議，這天因為表示要自焚，被鄰居送來精神科病房住院進行自殺防範，關於自殺防範護理措施，下列何者最適宜？",38,2,{"webId":43,"stem":44,"number":45,"year":46,"session":10},"nurse-107-1-psychiatric-community-052","有關健康促進的推動，下列何者錯誤？",52,107,{"webId":48,"stem":49,"number":50,"year":51,"session":10},"nurse-109-1-psychiatric-community-010","陳護理師接新住院病人，依據治療性溝通原則與新病人進行會談，下列描述何項是陳護理師較適切的表現？",10,109,{"webId":53,"stem":54,"number":55,"year":56,"session":10},"nurse-110-1-psychiatric-community-054","社區護理師在教導民眾預防三高的護理指導時，下列何者錯誤？",54,110,{"webId":58,"stem":59,"number":60,"year":61,"session":41},"nurse-111-2-psychiatric-community-008","羅小姐，30 歲，診斷為雙相情緒障礙症，居家護理師至其家中訪視，發現可能是躁症發作。下列何者為其最可能出現的症狀？",8,111,"2026-09-04",1788510694787]