[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-107-1-psychiatric-community-030":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-030","nurse-107-1-psychiatric-community-030",107,1,30,"李同學，18 歲，罹患重鬱症，向護理師表示：「每次自己交女朋友時，雖然感情很穩定，但每次面對親密關係時，總是很害怕會被拋棄，所以自己就覺得情緒很黑暗。」根據上述，李同學的情緒問題和下列何者最有關？",{"A":14,"B":15,"C":16,"D":17},"性賀爾蒙增加","缺乏抽象的思考能力","自我道德的發展","不安全的依附關係","D",null,[],"本題考點是依附理論在情緒問題的應用。依 Bowlby 依附理論,早年照顧經驗形成內在運作模式,不安全依附(尤其焦慮矛盾型)者在親密關係中會過度擔心被拋棄、情緒隨關係波動,李同學「感情穩定卻極度害怕被拋棄、情緒轉黑暗」正是不安全依附的典型表現,故選 D。A 性荷爾蒙增加屬青春期生理變化,無法解釋其對「被拋棄」的特定恐懼。B 缺乏抽象思考能力屬認知發展問題,與親密關係中的被棄焦慮不相干,且 18 歲抽象思考已成熟。C 自我道德發展處理的是是非善惡judgement,與依附式的情緒不安全無直接關聯。比較後,唯有不安全依附能精準對應「害怕被拋棄」這一核心情緒主題。","辨題關鍵詞是「怕被拋棄」,幾乎是依附議題的招牌訊號。依附四型:安全型、焦慮矛盾型(黏、怕被棄)、逃避型、混亂型;被棄恐懼最貼焦慮矛盾型。內在運作模式會把童年關係經驗投射到成年親密關係。可連結:Bowlby\u002FAinsworth 依附理論、陌生情境實驗、邊緣性人格的被棄恐懼、憂鬱的人際脆弱模式。",[24,27,29,31],{"term":25,"count":26},"被拋棄恐懼",2,{"term":28,"count":10},"依附理論",{"term":30,"count":10},"不安全依附",{"term":32,"count":10},"內在運作模式",[34,38,42,47,52,57],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-107-1-psychiatric-community-031","下列何種疾患最常與飲食障礙症成為共病？",31,{"webId":39,"stem":40,"number":41,"year":9,"session":26},"nurse-107-2-psychiatric-community-047","有關對血脂過高的高中生所提供的護理措施，下列何者不適當？",47,{"webId":43,"stem":44,"number":45,"year":46,"session":26},"nurse-108-2-psychiatric-community-061","關於實驗流行病學中的臨床試驗（clinical trial），下列何者正確？①隨機分派（random assignment）是必要條件 ②適合探討因果關係 ③以團體或社區為研究對象 ④最大缺點為容易產生回憶偏差",61,108,{"webId":48,"stem":49,"number":50,"year":51,"session":10},"nurse-110-1-psychiatric-community-019","有關社交焦慮症（social anxiety disorders）之敘述，下列何者較適當？",19,110,{"webId":53,"stem":54,"number":55,"year":56,"session":10},"nurse-111-1-psychiatric-community-063","張老先生患有失智症，因他有隨地大小便，且有誤食之問題。基於安全考量，社區護理師應優先建議家屬使用下列何項措施？",63,111,{"webId":58,"stem":59,"number":60,"year":61,"session":26},"nurse-112-2-psychiatric-community-017","劉先生診斷妄想症（Delusional Disorder），堅定地認為太太、兒子與鄰居們意圖要下毒害他，下列敘述何者正確？",17,112,"2026-09-04",1788510704276]