[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-107-2-psychiatric-community-012":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"lastmod":63},"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-012","nurse-107-2-psychiatric-community-012",107,2,12,"有關情緒障礙疾患的相關敘述，下列何者最適當？",{"A":14,"B":15,"C":16,"D":17},"更年期後的鬱症，睡眠困擾表現較常是早醒，但不會有入睡困難或中斷睡眠的症狀","若有多次未達躁症程度的輕躁發作，加上憂鬱症狀，則稱之為第二型雙相情緒障礙症（bipolar II disorder）","自尊膨脹誇大、睡眠需求減少、心情易怒，此三症狀出現需持續達六個月，就滿足躁症發作的診斷準則","病人有意念飛躍（flight of idea）時，思考快速且具規畫執行力，不但不損害功能，且能展現令人佩服的執行力與領導力","B",null,[],"本題考點是情緒障礙各診斷的鑑別準則。依 DSM 診斷，第二型雙相情緒障礙症的定義為出現過至少一次輕躁發作（hypomania，未達躁症嚴重度）加上至少一次鬱症發作，B 完全符合此定義，故選 B。A 錯在更年期後鬱症除早醒外，入睡困難與睡眠中斷同樣常見，「不會有」的絕對敘述不成立。C 錯在躁症發作準則的時間是心情高昂／易怒須「持續至少一週」，並非六個月。D 錯在意念飛躍屬思考流程障礙，會使思考跳躍失焦、明顯損害社會與職業功能，並非「展現領導力」。","雙相障礙分型關鍵在最嚴重發作：第一型（bipolar I）只要有過一次完整躁症（manic，≥1 週、常需住院或有精神病症狀）即成立；第二型（bipolar II）為輕躁（hypomania，≥4 天、不需住院、無精神病症狀）加鬱症，且從未達躁症。記憶法：「一躁二輕鬱」。DSM 躁症時間門檻一週、輕躁四天，是常考數字。更年期／老年鬱症睡眠特徵以早醒最典型，但不能推論不會有入睡困難，臨床上三種失眠型態可並存。",[24,27,30,32],{"term":25,"count":26},"意念飛躍",6,{"term":28,"count":29},"第二型雙相情緒障礙症",1,{"term":31,"count":29},"輕躁發作",{"term":33,"count":29},"躁症診斷時間準則",[35,39,44,49,53,58],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-107-2-psychiatric-community-013","朱先生，診斷為思覺失調症（schizophrenia），持續服用第二代抗精神病藥物 clozaril （ clozapine）中，護理師給予身體健康狀態評估時，應注意評估該藥物的副作用，下列何項正確？①顆粒性白血球缺乏症 ②低血糖 ③口水分泌過多 ④代謝症候群",13,{"webId":40,"stem":41,"number":42,"year":43,"session":10},"nurse-108-2-psychiatric-community-029","人格違常障礙症中之主要特徵為完美主義，重視細節，固執而缺乏彈性者，為下列何種人格障礙症？",29,108,{"webId":45,"stem":46,"number":47,"year":48,"session":29},"nurse-109-1-psychiatric-community-043","社區護理師在遊民集散地的公共廁所，設置免費保險套裝置是何種預防層級？",43,109,{"webId":50,"stem":51,"number":29,"year":52,"session":10},"nurse-110-2-psychiatric-community-001","依據現行精神衛生法規定，嚴重病人不遵從醫囑導致病情不穩或生活功能有退化之虞，經強制社區治療審查會決定許可強制社區治療，此次嚴重病人在接受強制社區治療期間，不能超過多久？",110,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-111-2-psychiatric-community-045","全民健康保險大幅減低就醫者的經濟負擔，造成民眾因而可能隨意使用過多的醫療服務，此現象為下列何種危害？",45,111,{"webId":59,"stem":60,"number":61,"year":62,"session":10},"nurse-112-2-psychiatric-community-079","65 歲陳女士有高血壓及高血脂之狀況，下列何項護理指導最不適當？",79,112,"2026-09-04",1788510726606]