[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-107-2-psychiatric-community-030":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"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":10},"nurse-107-2-精神科與社區衛生護理學-030","nurse-107-2-psychiatric-community-030",107,2,30,"「遺尿症（enuresis）」是指兒童在幾歲後仍會重複地尿濕衣服？",{"A":14,"B":15,"C":16,"D":17},"二歲","三歲","四歲","五歲","D",null,[],"本題考點是遺尿症（enuresis）的診斷年齡準則。依 DSM 診斷準則，遺尿症指兒童在生理年齡達五歲（或相當發展程度）之後，仍重複出現不自主或有意的尿床、尿濕衣物，故答五歲，選 D。設定五歲的理由是此時多數兒童已具備膀胱控制的生理成熟度，之前的尿濕多屬正常發展範圍，不宜貿然診斷。A 二歲、B 三歲、C 四歲皆早於此門檻，膀胱控制尚在正常發展中，不符診斷年齡，故不選。","遺尿症診斷要點（DSM）：生理年齡至少五歲；尿床行為每週至少兩次且持續至少三個月，或造成臨床顯著痛苦或功能損害；且非物質或一般醫學狀況（如糖尿病、泌尿道感染、利尿劑）所致。分型：僅夜間型（最常見）、僅日間型、日夜混合型；又分原發性（從未達過持續乾燥）與續發性（乾燥一段時間後復發，常與心理壓力有關）。對照遺屎症（encopresis）診斷年齡為四歲。記憶：尿五歲、便四歲。治療含行為療法（尿床鬧鈴）、動機與衛教，必要時 desmopressin。",[24,26,29,31],{"term":25,"count":10},"遺尿症診斷準則",{"term":27,"count":28},"五歲年齡門檻",1,{"term":30,"count":28},"膀胱控制發展",{"term":32,"count":28},"原發性與續發性遺尿",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-107-2-psychiatric-community-031","有關 65 歲以上老年人自殺的敘述，下列何者正確？",31,{"webId":39,"stem":40,"number":41,"year":42,"session":10},"nurse-108-2-psychiatric-community-047","某社區於公園內設置健康步道以鼓勵民眾運動，此屬於渥太華憲章推動健康促進的何項行動綱領？",47,108,{"webId":44,"stem":45,"number":46,"year":47,"session":28},"nurse-109-1-psychiatric-community-061","有關群體醫療執業中心之敘述，下列何者錯誤？",61,109,{"webId":49,"stem":50,"number":51,"year":52,"session":10},"nurse-110-2-psychiatric-community-019","沈女士為慢性精神病病人，平日都可依醫囑按時服用抗精神病藥物，但情緒仍常受幻聽干擾而時有波動，護理師提供的護理措施，下列何者錯誤？",19,110,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-111-2-psychiatric-community-063","有關 Smilkstein 所提出之 APGAR 家庭功能評估的敘述，下列何者錯誤？",63,111,{"webId":59,"stem":60,"number":61,"year":62,"session":63},"nurse-112-3-psychiatric-community-017","林同學，20 歲，上台報告時總是會極度恐懼或焦慮，也無法在公共場所用餐，平時會儘量避免與他人交談或互動。林同學最有可能的問題是下列何者？",17,112,3,"2026-09-04",1788510726774]