[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-109-1-psychiatric-community-025":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"lastmod":63},"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-109-1-精神科與社區衛生護理學-025","nurse-109-1-psychiatric-community-025",109,1,25,"下列何種現象最有可能造成廣泛性焦慮症（Generalized Anxiety Disorder）病人會一直聚焦在生病的角色上而獲得他人的關心？",{"A":14,"B":15,"C":16,"D":17},"附帶收穫（secondary gain）","解離症狀（dissociative symptoms）","虛談現象（confabulation）","作態行為（mannerism）","A",null,[],"本題考點在於精神疾病相關現象的辨識,特別是「附帶收穫」的概念。廣泛性焦慮症病人聚焦於生病角色以獲得他人關心與照顧,依附帶收穫(secondary gain)定義——病人因症狀而間接獲得的好處(如關注、免責、被照顧),正是題幹所述,故選A。B解離症狀指意識、記憶、身份或知覺的斷裂,與獲取關心無關。C虛談現象指記憶缺損者以虛構內容填補記憶空隙,常見於失憶症候群,非本題情境。D作態行為指怪異、做作而無目的的動作或姿勢,屬精神運動障礙。題幹核心是「藉生病角色換取關心的好處」,唯A附帶收穫貼切。","附帶收穫(secondary gain)是心身症與焦慮相關疾患常見動力,指症狀帶來的人際或環境利益,會不自覺強化症狀維持。與之相對的原發性收穫(primary gain)指症狀本身降低內在焦慮。護理宜關注需求本質而非強化病人角色。對比:虛談=補記憶、解離=斷裂、作態=怪異動作、附帶收穫=因病得利。記憶:因生病而「得到好處」就是secondary gain。",[24,27,29,31],{"term":25,"count":26},"廣泛性焦慮症",2,{"term":28,"count":10},"附帶收穫secondary gain",{"term":30,"count":10},"疾病角色",{"term":32,"count":10},"原發vs附帶收穫",[34,38,42,47,52,57],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-109-1-psychiatric-community-026","李同學診斷為邊緣型人格障礙症（Borderline Personality Disorder），手臂上很多的割痕，對於被媽媽送來住院非常的憤怒、對媽媽謾罵，下列何項是護理師目前最為適切的處置？",26,{"webId":39,"stem":40,"number":41,"year":9,"session":26},"nurse-109-2-psychiatric-community-042","孕期婦女加強葉酸攝取是屬於三段五級預防措施的何項層級？",42,{"webId":43,"stem":44,"number":45,"year":46,"session":10},"nurse-110-1-psychiatric-community-056","依據渥太華健康促進憲章五大行動綱領，針對不同年齡層舉辦健康飲食講座，以提升社區民眾每天蔬果攝取量，屬於下列何項行動綱領？",56,110,{"webId":48,"stem":49,"number":50,"year":51,"session":26},"nurse-111-2-psychiatric-community-014","有關下列疾患的心理因素，下列何者正確？",14,111,{"webId":53,"stem":54,"number":55,"year":56,"session":26},"nurse-112-2-psychiatric-community-058","護理師為提升職場員工正確攝取每日鈉含量，下列何項護理指導最適當？①利用鹽分計示範測量食物鈉含量 ②角色扮演廚師與顧客 ③講述法說明各種食物含鈉量 ④團體討論食物熱量",58,112,{"webId":58,"stem":59,"number":60,"year":61,"session":62},"nurse-113-3-psychiatric-community-022","下列對於社區精神心理衛生服務系統的敘述何者正確？",22,113,3,"2026-09-04",1788510714179]