[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-109-1-psychiatric-community-032":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"lastmod":64},"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-032","nurse-109-1-psychiatric-community-032",109,1,32,"在幼稚園的楊小弟，被老師反應上課時容易分心、注意力不集中、無法乖乖坐好、話多、容易干擾同學聽講，丟三落四、多半無法完成老師的指令，家長表示在家裡也有類似的行為，護理師覺得楊小弟最可能出現的問題是？",{"A":14,"B":15,"C":16,"D":17},"智能不足（Intellectual Disabilities）","躁鬱症（Bipolar Disorder）","注意力不足／過動症（Attention-Deficit\u002FHyperactivity Disorder, ADHD）","妥瑞氏症（Tourette’s Disorder）","C",null,[],"本題考點在於兒童期精神疾患的鑑別診斷。幼兒上課分心、注意力不集中、坐不住、話多、干擾同學、丟三落四、無法完成指令,且在校在家「跨情境」皆出現,依ADHD診斷準則——需具不專注與過動\u002F衝動症狀、於12歲前發生且在兩個以上情境出現,楊小弟表現完全符合,故選C。A智能不足以整體智力與適應功能低下為主,題幹未提智能顯著落後。B躁鬱症以情緒高低起伏循環為核心,幼兒期少見且題幹無情緒週期性表現。D妥瑞氏症以動作型與聲語型抽動(tics)為特徵,題幹未描述抽動。跨情境的不專注與過動最符合ADHD,唯C正確。","ADHD核心為「不專注」與「過動\u002F衝動」兩大症狀群,DSM-5要求症狀於12歲前出現、持續逾6個月、在≥2情境(如學校與家庭)造成功能損害。跨情境是關鍵鑑別點。對比:智能不足看智力適應、躁鬱看情緒週期、妥瑞看抽動。記憶:分心+過動+多情境+幼年起=ADHD;有不自主抽動才想妥瑞。",[24,27,30,32],{"term":25,"count":26},"DSM-5診斷準則",4,{"term":28,"count":29},"兒童精神疾患鑑別",2,{"term":31,"count":10},"注意力不足過動症ADHD",{"term":33,"count":10},"跨情境症狀",[35,39,43,48,53,58],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-109-1-psychiatric-community-033","下列對於自閉症類群障礙症（Autism Spectrum Disorder）的敘述，何者錯誤？",33,{"webId":40,"stem":41,"number":42,"year":9,"session":29},"nurse-109-2-psychiatric-community-049","有關社會資源運用的原則，下列何者不是優先考量的項目？",49,{"webId":44,"stem":45,"number":46,"year":47,"session":10},"nurse-110-1-psychiatric-community-063","王家夫婦育有二子，長子已成婚並育有一子，未婚次子也居住在附近。兒子們時常幫媽媽採買、媽媽也常燉湯送到二子家中，是屬於下列何種家庭類型？",63,110,{"webId":49,"stem":50,"number":51,"year":52,"session":29},"nurse-111-2-psychiatric-community-021","葛先生，診斷為雙相情緒障礙症，入院第三天，在入院期間常常在大廳走動，很容易與其他病友起口角或衝突，經醫療團隊討論後決定給予葛先生執行隔離措施，對隔離措施的敘述，下列何者正確？",21,111,{"webId":54,"stem":55,"number":56,"year":57,"session":29},"nurse-112-2-psychiatric-community-065","有關兒童肥胖的護理指導，下列何者最不適當？",65,112,{"webId":59,"stem":60,"number":61,"year":62,"session":63},"nurse-113-3-psychiatric-community-029","有關登革熱之敘述，下列何者最不適當？",29,113,3,"2026-09-04",1788510714272]