[{"data":1,"prerenderedAt":61},["ShallowReactive",2],{"q-nurse-108-2-psychiatric-community-029":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":32,"lastmod":60},"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":25},"nurse-108-2-精神科與社區衛生護理學-029","nurse-108-2-psychiatric-community-029",108,2,29,"人格違常障礙症中之主要特徵為完美主義，重視細節，固執而缺乏彈性者，為下列何種人格障礙症？",{"A":14,"B":15,"C":16,"D":17},"邊緣型人格障礙症","強迫型人格障礙症","孤僻型人格障礙症","反社會型人格障礙症","B",null,[],"本題考點為人格障礙症的特徵辨識。依 DSM 診斷特徵,強迫型人格障礙症的核心是過度追求完美主義、專注細節與規則、固執僵化而缺乏彈性,常因此犧牲效率與人際彈性,題幹描述完全吻合,故選 B。A 邊緣型人格障礙症錯在其特徵是情緒與人際關係不穩定、自我認同混亂、衝動與自傷,而非完美固執。C 孤僻型(schizoid)人格障礙症錯在其特徵是疏離冷漠、對人際關係缺乏興趣、情感表達受限,而非重視細節。D 反社會型人格障礙症錯在其特徵是漠視並侵犯他人權益、缺乏悔意、違反社會規範,與完美主義無關。判斷關鍵在於「完美主義、重細節、僵化」是強迫型人格的招牌特徵。","人格障礙 DSM 三群:A 群(古怪)含妄想型、孤僻型、思覺失調型;B 群(戲劇化)含反社會、邊緣、做作、自戀;C 群(焦慮)含畏避、依賴、強迫型。強迫型人格(OCPD)vs. 強迫症(OCD)之別:OCPD 為自我協調(ego-syntonic)的性格特質,病人不覺困擾;OCD 為自我失調(ego-dystonic)的強迫思考與行為,病人深感痛苦。口訣:完美固執重細節=強迫型人格。",[24,26,28,30],{"term":15,"count":25},1,{"term":27,"count":25},"完美主義",{"term":29,"count":25},"DSM 人格障礙分群",{"term":31,"count":25},"自我協調",[33,37,42,46,51,56],{"webId":34,"stem":35,"number":36,"year":9,"session":10},"nurse-108-2-psychiatric-community-030","對於有行為規範障礙症（conduct disorder）的兒童之護理，下列何者正確？",30,{"webId":38,"stem":39,"number":40,"year":41,"session":25},"nurse-109-1-psychiatric-community-046","有關流行病學研究法的描述，下列何者正確？",46,109,{"webId":43,"stem":44,"number":45,"year":41,"session":10},"nurse-109-2-psychiatric-community-060","有關免疫力（immunity）的敘述，下列何者正確？",60,{"webId":47,"stem":48,"number":49,"year":50,"session":25},"nurse-111-1-psychiatric-community-018","有關思覺失調症（Schizophrenia）病程進展的描述，下列何者最適當？",18,111,{"webId":52,"stem":53,"number":54,"year":55,"session":25},"nurse-112-1-psychiatric-community-062","有關 A 型肝炎的描述，下列何者正確？",62,112,{"webId":57,"stem":58,"number":40,"year":59,"session":25},"nurse-113-1-psychiatric-community-046","有關出院準備服務之敘述，下列何者最不適當？",113,"2026-09-04",1788510707707]