[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-107-1-psychiatric-community-022":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-107-1-精神科與社區衛生護理學-022","nurse-107-1-psychiatric-community-022",107,1,22,"憂鬱症病人最容易發生自殺的期間為何？",{"A":14,"B":15,"C":16,"D":17},"病情極重度時","病情重度時","病情中度時","病情恢復時","D",null,[],"本題考點是憂鬱症自殺風險的時間分布。依憂鬱症病程與能量恢復的落差原理,重度憂鬱發作極期時,病人常因精神運動遲滯、缺乏動機與體力而「連自殺都做不到」;當病情開始恢復、抗憂鬱劑藥效使精神運動先恢復、但情緒與負向認知尚未同步改善時,病人重獲執行力卻仍抱持絕望感,此落差使自殺行動風險最高,故選 D。A 極重度時與 B 重度時,病人多因遲滯而無力執行計畫,實際自殺完成率反而較低。C 中度時症狀與能量皆未達致命的失衡點。四選項比較後,唯有恢復期同時具備「絕望的動機」與「恢復的執行力」,這正是臨床自殺防治強調的高危時段。","機轉關鍵在「情緒—能量恢復不同步」:抗憂鬱劑(如 SSRI)通常先改善精神運動遲滯與睡眠(1–2 週),情緒與認知改善較慢(4–6 週),中間形成危險空窗。另一風險點是剛住院初期與剛出院後。記憶口訣:「有力氣了卻還沒有希望」最危險。可連結:抗憂鬱劑起效時程、精神運動遲滯(psychomotor retardation)、自殺警訊評估(SAD PERSONS)、住院與出院轉銜期的安全維護。",[24,26,28,30],{"term":25,"count":10},"憂鬱症病程",{"term":27,"count":10},"自殺風險時段",{"term":29,"count":10},"精神運動遲滯",{"term":31,"count":10},"抗憂鬱劑起效時程",[33,37,42,47,52,57],{"webId":34,"stem":35,"number":36,"year":9,"session":10},"nurse-107-1-psychiatric-community-023","有關心理防禦機轉之敘述，下列何者正確？",23,{"webId":38,"stem":39,"number":40,"year":9,"session":41},"nurse-107-2-psychiatric-community-039","對病人採取約束處置應進行密切觀察，密切觀察的主要項目應包含那些？①個人衛生 ②病人的生理需求 ③有無人陪伴 ④脈搏及呼吸",39,2,{"webId":43,"stem":44,"number":45,"year":46,"session":41},"nurse-108-2-psychiatric-community-053","對於青少女懷孕，下列何者屬三段五級的第三級預防之措施？",53,108,{"webId":48,"stem":49,"number":50,"year":51,"session":10},"nurse-110-1-psychiatric-community-011","廖先生診斷為躁症，入院後常只吃一口飯，就四處去找病友，說要監督別人有無浪費食物，下列何項護理措施較適當？",11,110,{"webId":53,"stem":54,"number":55,"year":56,"session":10},"nurse-111-1-psychiatric-community-055","衛生福利部國民健康署透過各類媒體進行大腸癌防治宣導，鼓勵民眾定期做大腸癌篩檢，是屬於下列何種衛生教育方法？",55,111,{"webId":58,"stem":59,"number":60,"year":61,"session":41},"nurse-112-2-psychiatric-community-009","依據卡普蘭（Caplan）危機理論的敘述，下列何者較適切？",9,112,"2026-09-04",1788510704206]