[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-107-2-psychiatric-community-015":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"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-015","nurse-107-2-psychiatric-community-015",107,2,15,"季節性鬱症發作病人，經常在特定季節感到情緒低落，此類病人較常在何季節發作？①春季 ②夏季 ③秋季 ④冬季",{"A":14,"B":15,"C":16,"D":17},"①②","③④","①③","①④","B",null,[],"本題考點是季節性情緒障礙（季節性鬱症）的好發季節。季節型鬱症最典型的型態是與日照減少相關的秋冬型：秋季（③）日照漸短時開始出現情緒低落、嗜睡、食慾增加與體重上升，到冬季（④）達高峰，故答③④，選 B。此型與褪黑激素、生理時鐘及日照不足有關，常用光照治療。①春季與②夏季日照充足，並非典型季節型鬱症的好發期（僅少數為較罕見的夏季型），故含①②的 A、C、D 皆不選。","季節性情緒障礙（seasonal affective disorder, SAD）在 DSM 中以「季節型」病程註記描述，指鬱症發作與特定季節規律出現且緩解。典型秋冬型的機轉與冬季日照短、褪黑激素分泌型態改變、血清素功能下降及生理時鐘後移有關，症狀常呈非典型特徵：嗜睡、食慾增加（尤嗜碳水化合物）、體重上升。治療首選光照治療（bright light therapy），輔以抗憂鬱劑。記憶：日照少→血清素少→情緒低，故秋冬發作。相對少見的夏季型則多見失眠、食慾下降。",[24,27,29,31],{"term":25,"count":26},"季節性情緒障礙",1,{"term":28,"count":26},"秋冬型",{"term":30,"count":26},"日照與褪黑激素",{"term":32,"count":26},"光照治療",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-107-2-psychiatric-community-016","伍先生，28 歲，診斷為思覺失調症（昔稱精神分裂症），在家排行老么，發病至今已 5 年多，父母為主要照顧者，對個案感到愧疚認為是延誤就醫而造成個案生病，不希望兒子吃藥吃到笨笨的而自行調藥，個案平時在家協助父母管理房屋租賃的事務，最近因為出現自語現象，目前入院一週，個案外觀整齊，沉默，少與他人互動，生活可自理，但每天下午四點會站在大門前等待家人協助洗澡，觀察個案與家人互動融洽，溝通無礙，下列那一項是照顧個案的首要任務？",16,{"webId":39,"stem":40,"number":41,"year":42,"session":10},"nurse-108-2-psychiatric-community-032","罹患分離焦慮症（separation anxiety disorder）的兒童，其護理重點為何？①增強病童的安全感 ②增加分離的次數 ③教導病童的因應能力 ④訓練病童的獨立性",32,108,{"webId":44,"stem":45,"number":46,"year":47,"session":26},"nurse-109-1-psychiatric-community-046","有關流行病學研究法的描述，下列何者正確？",46,109,{"webId":49,"stem":50,"number":51,"year":52,"session":10},"nurse-110-2-psychiatric-community-004","吳女士，診斷思覺失調症，坐在餐桌前，不斷以手拍打桌子，口中喊著說：「怎麼這麼多蟑螂，快來幫忙打蟑螂。」雖然護理師告訴她沒有蟑螂在桌上，但她仍堅持桌上看到許多蟑螂。此為下列何種精神症狀？",4,110,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-111-2-psychiatric-community-048","下列何項生命統計指標可做為評估國家、社會、經濟和衛生等政策規劃的綜合指標？",48,111,{"webId":59,"stem":60,"number":10,"year":61,"session":62},"nurse-112-3-psychiatric-community-002","病人對護理師說：「你對我真好，不像那個小夜班護理師，好兇喔！他還說你壞話……」，面對病人的分化性行為，護理師提供的護理原則，下列何者正確？①傾聽其想法及動機 ②保持中立的態度與其討論 ③隱藏此事，不必告訴其他護理人員 ④以就事論事的態度與其互動",112,3,"2026-09-04",1788510726634]