[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-107-2-psychiatric-community-023":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"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-023","nurse-107-2-psychiatric-community-023",107,2,23,"武先生，30 歲，診斷為第一型雙相情緒障礙症（昔稱第一型雙極性疾患），目前為躁症發作。護理師給藥時，武先生對護理師說：「我討厭吃藥，吃藥有副作用，昨晚病友打鼾很大聲，很吵，我好想抽菸，抽菸很快樂，醫師何時會來看我，上午或下午…」，武先生的症狀最符合下列何者？",{"A":14,"B":15,"C":16,"D":17},"語無倫次（incoherence）","說話繞圈（circumstantiality）","意念飛耀（flight of ideas）","字句拼盤（word salad）","C",null,[],"本題考點是躁症思考流程障礙——意念飛躍的辨識。病人一段話中連續由「討厭吃藥→副作用→病友打鼾很吵→想抽菸→抽菸快樂→醫師何時來」快速跳接，各主題間仍有可循的鬆散聯結（多由諧音、鄰近刺激或表面關聯帶動），但話題轉換過快且目標離散，正是意念飛躍（flight of ideas）的典型，選 C。A 語無倫次指語句破碎、文法瓦解到難以理解；B 說話繞圈是細節冗贅繞遠但最終能回到主題；D 字句拼盤是詞語毫無語意關聯地堆疊，皆較意念飛躍更為解構，與此仍可追隨的跳接不符。","思考流程（form of thought）障礙的鑑別是精神科常考點，可依「連貫程度」排序：意念飛躍（flight of ideas）＞說話繞圈（circumstantiality）＞聯想鬆弛／脫軌（loosening／derailment）＞語無倫次（incoherence）＞字句拼盤（word salad，最解構）。意念飛躍是躁症標誌，特徵為思緒與言語加速、主題間仍有可辨聯結但快速跳離、常受環境刺激牽動；繞圈則是龜速地繞細節但終會回到重點（常見於強迫或某些器質狀態）。記憶：飛躍是「跳得快但看得出線索」，字句拼盤是「連線索都沒有」。",[24,27,30,32],{"term":25,"count":26},"意念飛躍",6,{"term":28,"count":29},"思考流程障礙鑑別",1,{"term":31,"count":29},"說話繞圈",{"term":33,"count":29},"字句拼盤與語無倫次",[35,39,44,49,54,59],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-107-2-psychiatric-community-024","承上題，武先生渴望有女朋友，某日武先生向護理師說：「護理師您很漂亮，妳有沒有男朋友，我可以當您的男朋友」，護理師之處置下列何者最適當？",24,{"webId":40,"stem":41,"number":42,"year":43,"session":10},"nurse-108-2-psychiatric-community-040","住院病人辜太太，長期於反覆的家暴中受盡折磨，辜太太表示夫妻爭吵是難免，不斷要求出院回家，請問在護理師首次接案時，下列輔導技巧何者較適切？①耐心面對辜太太的防禦心，傾聽訴說 ②應明顯立即面質辜太太的防禦心 ③護理師將焦點放在支持與增加資源的聯結 ④覺察辜太太之矛盾與壓力",40,108,{"webId":45,"stem":46,"number":47,"year":48,"session":29},"nurse-109-1-psychiatric-community-054","經過社區健康營造之後，某社區居民提升口腔癌與檳榔使用的認知，也願意改變以種植檳榔維生的方式。這是屬於何種評價？",54,109,{"webId":50,"stem":51,"number":52,"year":53,"session":10},"nurse-110-2-psychiatric-community-012","有關 Benzodiazepine（BZD）的護理指導，下列何者最適當？",12,110,{"webId":55,"stem":56,"number":57,"year":58,"session":10},"nurse-111-2-psychiatric-community-056","政府為提升嚴重特殊傳染性肺炎（COVID-19）疫苗接種率，透過里幹事協助老人預約鄰近的診所，並發通知單提醒接種時間與地點。此方式是應用健康信念模式的那些要素？①增加行動線索 ②降低行動障礙認知 ③增進疾病嚴重度的認知 ④提升自我效能",56,111,{"webId":60,"stem":61,"number":62,"year":63,"session":64},"nurse-112-3-psychiatric-community-010","有關認知障礙症病人的特性，下列敘述何者正確？",10,112,3,"2026-09-04",1788510726692]