[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-107-2-psychiatric-community-017":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":35,"lastmod":65},"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-017","nurse-107-2-psychiatric-community-017",107,2,17,"劉小姐，28 歲，因情緒高昂、整日不停的忙碌、意念飛躍、自認具有超能力要別人一切聽她指揮，導致家人與同事的困擾，而三度入院治療，診斷為雙相情緒障礙症（bipolar disorder），劉小姐最可能的護理問題為何？①社交互動障礙 ②自殺企圖 ③睡眠型態紊亂 ④思考過程改變",{"A":14,"B":15,"C":16,"D":17},"①②③","①③④","②③④","①②④","B",null,[],"本題考點是雙相情緒障礙躁症發作病人的護理診斷判斷。個案情緒高昂、整日忙碌不停、意念飛躍、自認有超能力要指揮他人，據此可推得：干擾人際、造成家人同事困擾屬社交互動障礙（①）；持續亢奮忙碌、睡眠需求減少屬睡眠型態紊亂（③）；意念飛躍、誇大妄想屬思考過程改變（④），故①③④正確，選 B。②自殺企圖主要出現在鬱症相或混合發作，題幹描述純躁症、無自傷或死亡意念線索，缺乏依據，故含②的 A、C、D 皆不選。","躁症的三大護理焦點常對應：過度活動與破壞人際（社交互動障礙）、睡眠需求減少（睡眠型態紊亂）、誇大妄想與意念飛躍（思考過程改變），另需高度警覺營養不足與受傷風險（因忙碌不進食、判斷力受損）。安全上，急性躁症的優先問題常是「對他人或自己有暴力之虞」。自殺風險評估應貫穿情緒障礙全程，但作答須依題幹線索：本題無憂鬱或自傷描述，故不列自殺企圖。記憶：躁症「三少三多」——睡少、食少（顧不上）、判斷少；話多、動多、想法多。",[24,27,30,33],{"term":25,"count":26},"躁症發作",8,{"term":28,"count":29},"睡眠型態紊亂",3,{"term":31,"count":32},"社交互動障礙",1,{"term":34,"count":32},"思考過程改變",[36,40,45,50,55,60],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-107-2-psychiatric-community-018","林先生，正處於躁症急性期，最近因忙碌進食量減少，目前服用鋰鹽（lithium carbonate），出現腹瀉、手抖、噁心嘔吐等現象，下列何者為最優先的處置？",18,{"webId":41,"stem":42,"number":43,"year":44,"session":10},"nurse-108-2-psychiatric-community-034","社區心理衛生的工作實務中，下列何者屬於次級預防工作？",34,108,{"webId":46,"stem":47,"number":48,"year":49,"session":32},"nurse-109-1-psychiatric-community-048","根據傳染病通報規定，下列何者不需於 24 小時內完成病例通報？",48,109,{"webId":51,"stem":52,"number":53,"year":54,"session":10},"nurse-110-2-psychiatric-community-006","下列何者為貝克（Beck）認知學說的主要論述？",6,110,{"webId":56,"stem":57,"number":58,"year":59,"session":10},"nurse-111-2-psychiatric-community-050","根據三段五級疾病預防概念，下列何者屬於特殊保護的層級？①婚前健康檢查 ②均衡飲食 ③職場使用護具 ④疫苗接種 ⑤性教育",50,111,{"webId":61,"stem":62,"number":63,"year":64,"session":29},"nurse-112-3-psychiatric-community-004","從社區精神醫學的立場來看，下列何者為第一級的預防策略？",4,112,"2026-09-04",1788510726648]