[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-107-1-psychiatric-community-020":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-107-1-精神科與社區衛生護理學-020","nurse-107-1-psychiatric-community-020",107,1,20,"許先生最近出現情緒高昂、易怒、誇大想法、多話、注意力分散、睡眠時數少，請問以上這些症狀需持續多久時間才能診斷為躁症發作（manic episode）？",{"A":14,"B":15,"C":16,"D":17},"一週","二週","三週","四週","A",null,[],"本題考點在於躁症發作（manic episode）的診斷病程時間準則。依 DSM 診斷標準，情緒高昂或易怒合併活動與精力增加，且伴隨誇大、多話、注意力分散、睡眠需求減少等症狀，須持續至少一週（或症狀嚴重到需住院則不限此時長）才符合躁症發作，故選 A（一週）。B 二週、C 三週、D 四週皆長於準則要求，屬時間設定過長而錯誤。附帶辨識：若類似症狀僅持續至少四天且未達顯著功能損害或住院程度，則屬輕躁症（hypomania），與躁症的病程門檻不同。","躁症與輕躁症的差別是常考重點，用「時間＋嚴重度」兩把尺記最清楚：躁症發作需症狀持續至少一週、或嚴重到需住院、或伴精神病症狀，且造成明顯功能損害；輕躁症僅需至少連續四天、症狀較輕、無明顯功能損害也不需住院、無精神病症狀。核心症狀群可用助記「DIG FAST」串起：Distractibility（注意力分散）、Insomnia／睡眠需求減少、Grandiosity（誇大）、Flight of ideas（意念飛躍）、Activity 增加、Speech 多話（pressured speech）、Thoughtlessness／衝動冒險。本題個案的多項表現符合，關鍵就在病程須達「一週」這道門檻。",[24,27,29,31],{"term":25,"count":26},"躁症發作診斷準則",2,{"term":28,"count":10},"病程一週",{"term":30,"count":10},"輕躁症鑑別",{"term":32,"count":10},"DIG FAST 症狀群",[34,38,42,47,52,57],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-107-1-psychiatric-community-021","簡先生，24 歲，診斷為思覺失調症，個子矮小，沒自信，說話極小聲，從小求學成績不佳，人際關係不好，後來被分派到資源班就讀，常受同學欺負，護理師今天發現個案都躲在房間不願意到大廳活動，與之會談表示某病友昨天傍晚打他，搶他的食物吃，有走到護理站，但不知怎麼跟護理師說。護理師的回應，下列那一項最適切？",21,{"webId":39,"stem":40,"number":41,"year":9,"session":26},"nurse-107-2-psychiatric-community-037","卡普蘭（Caplan）提出危機事件發生後會歷經四個階段，四個階段依序為何？",37,{"webId":43,"stem":44,"number":45,"year":46,"session":26},"nurse-108-2-psychiatric-community-051","王先生與張女士同居三年，他們領養一個三歲小男孩，請問下列那一個家系圖符合前述狀況？",51,108,{"webId":48,"stem":49,"number":50,"year":51,"session":10},"nurse-110-1-psychiatric-community-009","環境治療應用於急性住院病房之敘述，下列何項較適當？",9,110,{"webId":53,"stem":54,"number":55,"year":56,"session":10},"nurse-111-1-psychiatric-community-053","有關社區資源盤點的功能，下列何者錯誤？",53,111,{"webId":58,"stem":59,"number":60,"year":61,"session":26},"nurse-112-2-psychiatric-community-007","吳先生，40 歲，診斷情感思覺失調症（Schizoaffective Disorder）。護理師問他喜歡從事什麼休閒活動，吳先生回答說：「我喜歡游泳，勇於認錯，知錯能改，善莫大焉，醃肉好吃，但太鹹，我不能吃，因為我有高血壓。」吳先生有以下那一項症狀？",7,112,"2026-09-04",1788510704188]