[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-107-2-psychiatric-community-008":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"lastmod":64},"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-107-2-精神科與社區衛生護理學-008","nurse-107-2-psychiatric-community-008",107,2,8,"有關病人出現的臨床精神症狀敘述，下列何者最適當？",{"A":14,"B":15,"C":16,"D":17},"杯弓蛇影是視幻覺（visual hallucination）","病人不斷抱怨病房有蛇，但其他人都沒看到，最可能是有視幻覺（visual hallucination）症狀","病人常出現腸胃有蟲在爬，腦內在滴血的抱怨，此症狀稱為觸幻覺（tactile hallucination）","病人常抱怨舌頭有苦味，皮膚表面有電麻感，此症狀稱為身體幻覺（somatic hallucination）","B",null,[],"本題考點在於幻覺與錯覺的區辨及各型幻覺定義。幻覺是在「無外在刺激」下產生的感官經驗;病人抱怨病房有蛇而他人都看不到,屬無刺激下的視幻覺,故 B 最適當。A 錯,杯弓蛇影是將真實存在的弓影誤認為蛇,有外在刺激,屬「錯覺(illusion)」而非幻覺。C 錯,抱怨腸胃有蟲爬、腦內滴血屬內臟或身體幻覺,觸幻覺應指皮膚表面有蟲爬感(formication)。D 錯,舌頭苦味屬味幻覺、皮膚電麻感屬觸幻覺,合稱身體幻覺的用法不精確。","先分幻覺與錯覺:有真實刺激而錯認者為錯覺,無刺激而自生者為幻覺。幻覺再依感官分類——聽幻覺(思覺失調最常見)、視幻覺(常見於器質性或譫妄)、觸幻覺(蟻走感,見於戒斷)、嗅與味幻覺(常見於顳葉病灶)、身體\u002F內臟幻覺。答題要同時判斷「有無外在刺激」與「屬何種感官」,兩層都對才算精確。",[24,27,30,32],{"term":25,"count":26},"視幻覺",5,{"term":28,"count":29},"幻覺與錯覺區辨",1,{"term":31,"count":29},"觸幻覺(formication)",{"term":33,"count":29},"感官幻覺分類",[35,39,44,49,54,59],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-107-2-psychiatric-community-009","團體治療過程中張先生和史先生因意見不合而互相爭執，張先生因此憤而離開團體，使團體瀰漫著不安的氣氛，團體治療者的處置，下列何者正確？①中斷團體的進行安撫史先生 ②強調成員應遵守團體規範 ③允許害怕的成員暫時離開團體 ④鼓勵成員表達此時的感受",9,{"webId":40,"stem":41,"number":42,"year":43,"session":10},"nurse-108-2-psychiatric-community-025","下列何者是貝克（Beck）提出憂鬱的認知觀點？①兩極化想法（polarized thinking） ②獨斷推論（arbitrary inference） ③過度類化（over generalization） ④自閉思考（autistic thinking）",25,108,{"webId":45,"stem":46,"number":47,"year":48,"session":29},"nurse-109-1-psychiatric-community-039","有關自殺行為的敘述，下列何項最適切？",39,109,{"webId":50,"stem":51,"number":52,"year":53,"session":29},"nurse-110-1-psychiatric-community-077","李先生是高血壓個案，喜愛從事的休閒活動包括：①洗三溫暖 ②打太極拳 ③舉重訓練 ④游泳，社區護理師應建議他避免那些活動？",77,110,{"webId":55,"stem":56,"number":57,"year":58,"session":10},"nurse-111-2-psychiatric-community-041","有關依賴指數（dependency ratio）的敘述，下列何者錯誤？",41,111,{"webId":60,"stem":61,"number":62,"year":63,"session":10},"nurse-112-2-psychiatric-community-075","陳先生 74 歲，出血性中風個案，巴氏量表為 55 分，主要照顧者為 72 歲陳太太；陳先生於情況穩定後出院返家，但仍須留置鼻胃管及氣切管，陳太太表示無法獨自帶先生回門診，且對管路照顧感到擔心。個案管理師最優先建議陳太太使用的長期照顧服務資源，下列何項最適當？",75,112,"2026-09-04",1788510726543]