[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-106-2-psychiatric-community-027":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-106-2-精神科與社區衛生護理學-027","nurse-106-2-psychiatric-community-027",106,2,27,"有關強迫症之敘述，下列何者最正確？",{"A":14,"B":15,"C":16,"D":17},"出現強迫行為的兒童知道其強迫行為是過度且不合理的","病人常用的防衛機轉是合理化","必須結合藥物及行為治療","最常出現在中年人","C",null,[],"本題考點為強迫症（OCD）的臨床特徵與治療。依 OCD 治療實證，最有效的做法是結合藥物（SSRI）與行為治療（暴露不反應法 ERP），故正解為 C。A 錯在成人 OCD 病人多能自知強迫症狀過度且不合理，但「兒童」常缺乏此病識感，選項將兒童也一概認定知道其不合理，並不正確。B 錯在 OCD 常見的防衛機轉是抵消（undoing）、隔離（isolation）與反向作用，而非合理化。D 錯在 OCD 好發於青少年至成年早期，並非最常出現於中年人。","OCD 由強迫思考（obsession，侵入性念頭引發焦慮）＋強迫行為（compulsion，藉儀式暫時緩解焦慮）構成。一線治療：SSRI（常需較高劑量、較長起效）＋認知行為治療中的暴露不反應法（ERP）。特徵性防衛機轉：抵消、隔離、反向作用。病識感隨年齡而異——成人多知不合理仍無法克制，兒童常缺病識感。好發於青少年與成年早期，男性發病常更早。口訣「強迫＝念頭＋儀式，藥＋ERP 雙管齊下」。",[24,27,29,31],{"term":25,"count":26},"強迫症(OCD)",1,{"term":28,"count":26},"SSRI 併行為治療(ERP)",{"term":30,"count":26},"防衛機轉(抵消、隔離)",{"term":32,"count":26},"好發年齡",[34,38,43,47,52,57],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-106-2-psychiatric-community-028","有關物質使用障礙症病人之照護過程，下列何者最正確？",28,{"webId":39,"stem":40,"number":41,"year":42,"session":26},"nurse-107-1-psychiatric-community-044","食用未煮熟雞蛋而導致腸道疾病，最常見之細菌為何？",44,107,{"webId":44,"stem":45,"number":46,"year":42,"session":10},"nurse-107-2-psychiatric-community-058","完成社區健康計畫後，評價計畫的價值性及執行計畫所引發的問題，屬於何種評價？",58,{"webId":48,"stem":49,"number":50,"year":51,"session":10},"nurse-109-2-psychiatric-community-016","下列何項症狀屬於布洛伊勒所提 4A 的自閉症狀？",16,109,{"webId":53,"stem":54,"number":55,"year":56,"session":10},"nurse-110-2-psychiatric-community-060","下列何種食品添加物會引起類交感神經興奮？",60,110,{"webId":58,"stem":59,"number":60,"year":61,"session":26},"nurse-112-1-psychiatric-community-014","陳先生在住院期間，與多位病人有衝突，且多次出手攻擊。在訂定行為治療時，下列何項措施最適宜？",14,112,"2026-09-04",1788510700142]