[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-109-1-psychiatric-community-005":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":32,"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":10},"nurse-109-1-精神科與社區衛生護理學-005","nurse-109-1-psychiatric-community-005",109,1,5,"林先生，診斷思覺失調症，表情緊張地對護理師說：「我都沒跟別人說話，但是別人都可以知道我在想什麼，知道我所有的秘密。」林先生的描述最符合下列那個症狀？",{"A":14,"B":15,"C":16,"D":17},"思考插入（thought insertion）","思考中斷（thought blocking）","思考抽離（thought withdrawal）","思考廣播（thought broadcasting）","D",null,[],"本題考點在於思考內容障礙中「被動體驗」四型的鑑別。病人陳述「沒跟別人說,但別人都知道我在想什麼」,意即自己的想法未經表達卻被他人得知,依思考廣播(thought broadcasting)定義——病人相信自己的思想會像廣播般向外散播被眾人接收,故選D。A思考插入指相信外力把不屬於自己的想法塞入腦中,是「進來」而非「出去」。B思考中斷指思緒突然中斷、腦中一片空白,屬思考流程障礙。C思考抽離指相信自己的想法被外力抽走,是「被拿走」。四者方向不同,題幹是「想法外流被他人知悉」,唯D符合。","此四型同屬思覺失調症第一級症狀(Schneider's first-rank symptoms),核心是自我界限喪失(loss of ego boundary)。記憶口訣以「方向」分辨:插入=想法進來、抽離=想法被拿走、廣播=想法向外散播、中斷=想法突然斷掉。廣播與被害妄想常並存,反映患者感到內在私密被侵犯。臨床上此類第一級症狀對診斷思覺失調症具高度指標性。",[24,26,28,30],{"term":25,"count":10},"思考廣播",{"term":27,"count":10},"Schneider第一級症狀",{"term":29,"count":10},"自我界限喪失",{"term":31,"count":10},"思考內容障礙",[33,37,42,47,52,57],{"webId":34,"stem":35,"number":36,"year":9,"session":10},"nurse-109-1-psychiatric-community-006","王小姐，診斷思覺失調症，護理師發現王小姐眼神怪異，表情緊張。於是問王小姐是不是在獨處時會聽到有人對她說話。請問這是屬於整體性護理評估的那一種層面？",6,{"webId":38,"stem":39,"number":40,"year":9,"session":41},"nurse-109-2-psychiatric-community-022","方小姐 28 歲，診斷為思覺失調症，因與宮廟工作人員發生衝突，入院治療，護理師觀察到個案喃喃自語，時而發笑，時而側耳傾聽，表示觀音菩薩正在跟她說話，請護理師別吵她，護理師的回應，下列何項較適當？",22,2,{"webId":43,"stem":44,"number":45,"year":46,"session":10},"nurse-110-1-psychiatric-community-036","佛洛依德（Sigmund Freud）對偏差行為的看法，認為是早期發展衝突未能妥善解決的結果，此為運用下列何種模式？",36,110,{"webId":48,"stem":49,"number":50,"year":51,"session":10},"nurse-111-1-psychiatric-community-074","有關長期照顧的理念與目標，下列何者最不適當？",74,111,{"webId":53,"stem":54,"number":55,"year":56,"session":41},"nurse-112-2-psychiatric-community-038","社區精神復健中心的服務對象之收案條件，下列何者正確？",38,112,{"webId":58,"stem":59,"number":41,"year":60,"session":61},"nurse-113-3-psychiatric-community-002","在執行精神病人保護約束時，護理人員告知每 15 分鐘會來探視病人，並確實按時探視，此符合下列那項倫理原則？",113,3,"2026-09-04",1788510713964]