[{"data":1,"prerenderedAt":62},["ShallowReactive",2],{"q-nurse-108-2-psychiatric-community-007":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"lastmod":61},"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-108-2-精神科與社區衛生護理學-007","nurse-108-2-psychiatric-community-007",108,2,7,"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？",{"A":14,"B":15,"C":16,"D":17},"誇大（grandeur）","虛無（nihilistic）","身體（somatic）","關係（reference）","B",null,[],"本題考點為妄想（delusion）類型的辨識。依症狀學，病人堅信自己身體內部器官已不存在（如沒有消化器官）、否定自身或世界的存在，屬「虛無妄想（nihilistic delusion）」，故選 B。A 誇大妄想是誇大自己的能力、身分或財富。C 身體妄想指堅信身體有某種疾病或異常（如認為體內長蟲），偏向「有異常」而非「不存在」。D 關係妄想是將無關的外界事件解讀為與自己有關，故正解為 B。","妄想是與現實不符卻堅信不移、無法被理性說服的錯誤信念。常考類型對比：誇大（我是神／首富）、虛無（我沒有內臟／世界已毀滅）、身體（我體內有蟲、器官爛掉）、關係（電視在講我）、被害（有人要害我）、罪惡（我犯了滔天大罪）。關鍵辨別「虛無＝否定存在」與「身體＝存在但病態」的差異。虛無妄想常見於嚴重憂鬱（Cotard 症候群），病人因「認為沒有消化器官」而拒食是典型情境。",[24,26,29,31],{"term":25,"count":10},"虛無妄想",{"term":27,"count":28},"妄想類型",1,{"term":30,"count":28},"Cotard 症候群",{"term":32,"count":28},"身體妄想鑑別",[34,38,43,47,52,57],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-108-2-psychiatric-community-008","有關精神疾病的臨床表徵，下列敘述何者正確？",8,{"webId":39,"stem":40,"number":41,"year":42,"session":28},"nurse-109-1-psychiatric-community-024","針對以藥物治療焦慮症狀之敘述，下列何者最為正確？",24,109,{"webId":44,"stem":45,"number":46,"year":42,"session":10},"nurse-109-2-psychiatric-community-038","李先生在門診出現言語謾罵、挑釁，當護理師前來說明時，隨即打護理師，並生氣的說：「我等 2 小時，都還沒看到我」，李先生的行為較屬於下列那一項？",38,{"webId":48,"stem":49,"number":50,"year":51,"session":10},"nurse-110-2-psychiatric-community-076","有關長期照顧十年計畫 2.0 之敘述，下列何者最不適當？",76,110,{"webId":53,"stem":54,"number":55,"year":56,"session":28},"nurse-112-1-psychiatric-community-040","鼓勵精神病人重返社區後，最可能產生的影響為何？",40,112,{"webId":58,"stem":59,"number":41,"year":60,"session":28},"nurse-113-1-psychiatric-community-024","有關精神護理之家的服務對象其收置條件，可包含下列何者？①精神症狀穩定且慢性化者 ②不需急性住院治療但需生活照顧者 ③需急性住院治療之年邁者、失智者 ④無家可歸的慢性精神病人",113,"2026-09-04",1788510707524]