[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-108-2-psychiatric-community-006":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"lastmod":62},"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-108-2-精神科與社區衛生護理學-006","nurse-108-2-psychiatric-community-006",108,2,6,"有關鬱症的敘述，下列何者最適切？",{"A":14,"B":15,"C":16,"D":17},"男性鬱症盛行率高於女性","病人血清素濃度比平常人要低","病人最常使用轉移的防衛機轉","主因與多巴胺（dopamine）濃度高有關","B",null,[],"本題考點為鬱症（depressive disorder）的流行病學與神經生化機轉。依單胺假說，憂鬱與腦內血清素（serotonin）等神經傳導物質濃度偏低有關，故 B「病人血清素濃度比常人低」正確。A 錯：鬱症盛行率女性高於男性（約 2 倍）。C 錯：憂鬱常見的防衛機轉是「內射（introjection）」將攻擊轉向自身而自責，非「轉移（displacement）」。D 錯：憂鬱與單胺不足有關，並非多巴胺濃度過高（高多巴胺較與躁症、精神病症狀相關），故正解為 B。","憂鬱症的單胺假說指血清素、正腎上腺素、多巴胺功能不足，故抗憂鬱劑（SSRI、SNRI）作用即在提升突觸間單胺濃度。性別差異、內射自責、與神經生化低下是三個常考點。記憶法：憂鬱「女多、血清素低、內射自責」；躁症與精神病則偏向「多巴胺過度」。防衛機轉對比：內射＝把外在（如對他人的憤怒）轉向自身，臨床上表現為過度自責與罪惡感，正符合憂鬱病人的心理動力。",[24,27,29,32],{"term":25,"count":26},"單胺假說",3,{"term":28,"count":10},"鬱症",{"term":30,"count":31},"血清素濃度偏低",1,{"term":33,"count":31},"內射防衛機轉",[35,39,44,48,53,58],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-108-2-psychiatric-community-007","精神病人因為堅定相信自己身體裡已經沒有消化器官，所以不願意進食，這是屬於何種妄想？",7,{"webId":40,"stem":41,"number":42,"year":43,"session":31},"nurse-109-1-psychiatric-community-023","躁症發作（manic episode）的診斷準則，下列何者正確？",23,109,{"webId":45,"stem":46,"number":47,"year":43,"session":10},"nurse-109-2-psychiatric-community-037","張先生住院，因為暴力攻擊事件已進行約束 2 小時，醫療團隊共同討論是否應解除其約束，關於解除約束的評估，下列何項最適切？",37,{"webId":49,"stem":50,"number":51,"year":52,"session":10},"nurse-110-2-psychiatric-community-075","依據長期照顧十年計畫 2.0 失智照護政策之介紹，下列何者錯誤？",75,110,{"webId":54,"stem":55,"number":56,"year":57,"session":31},"nurse-112-1-psychiatric-community-039","有關避免慢性精神病病人機構化的護理措施，下列何者最適宜？",39,112,{"webId":59,"stem":60,"number":42,"year":61,"session":31},"nurse-113-1-psychiatric-community-023","災難急性期運用安心團體（debriefing），下列敘述何者最適切？",113,"2026-09-04",1788510707521]