[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-109-2-psychiatric-community-016":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"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":26},"nurse-109-2-精神科與社區衛生護理學-016","nurse-109-2-psychiatric-community-016",109,2,16,"下列何項症狀屬於布洛伊勒所提 4A 的自閉症狀？",{"A":14,"B":15,"C":16,"D":17},"李小姐坐在大廳自言自語且自笑","莊先生在談到母親去世的事，在唱卡拉 OK 時流下眼淚隨即又大笑","吳先生外觀髒亂","方太太認為自己的住家附近有高壓電，所以傷到腦部才會生病","A",null,[],"本題考點為 Bleuler 提出思覺失調症 4A 中自閉症狀的辨識。依 Bleuler 4A（聯想障礙 Association、情感障礙 Affect、矛盾 Ambivalence、自閉 Autism），自閉指退縮於內在世界、與現實脫節、專注於自我，李小姐獨坐大廳自言自語自笑正屬此類，選 A。B 談亡母卻大笑流淚交錯屬情感不協調（Affect）。C 外觀髒亂反映的是自我照顧退化，非 4A 核心自閉症狀的典型描述。D 認為住家附近有高壓電傷腦屬妄想（附加症狀），不屬 4A 的基本症狀。","Bleuler 4A 為思覺失調症的基本（原發）症狀，妄想幻覺則屬附加（續發）症狀。此處的自閉（autism）非兒童自閉症，而指與現實隔離、沉浸於自我世界。四項記憶：聯想鬆弛、情感不協調、矛盾意向、自閉退縮。此分類凸顯思覺失調在思考與情感的核心缺損。",[24,27,29,31],{"term":25,"count":26},"Bleuler 4A",1,{"term":28,"count":26},"自閉症狀",{"term":30,"count":26},"情感不協調",{"term":32,"count":26},"原發與附加症狀",[34,38,43,47,52,57],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-109-2-psychiatric-community-017","身為主護護理師，此階段照護何者最重要？",17,{"webId":39,"stem":40,"number":41,"year":42,"session":26},"nurse-110-1-psychiatric-community-033","有關復元（recovery）的敘述，下列何者正確？",33,110,{"webId":44,"stem":45,"number":46,"year":42,"session":10},"nurse-110-2-psychiatric-community-047","有關孕婦的疫苗接種，下列何者是可以接種的？",47,{"webId":48,"stem":49,"number":50,"year":51,"session":26},"nurse-112-1-psychiatric-community-005","有關精神疾病與神經傳導物質失調之因素假說，下列敘述何者正確？",5,112,{"webId":53,"stem":54,"number":55,"year":51,"session":56},"nurse-112-3-psychiatric-community-049","張先生近來被子女發現會忘記一些日常事情，醫師診斷為輕型認知障礙症（Mild Neurocognitive Disorder），家人不放心他白天一人在家，共照個管師與個案和家人商議後，轉介他至其居住所在的巷弄據點，於是張先生每週有三個早上會自己騎車至據點活動與吃午餐。這樣的措施是屬於：",49,3,{"webId":58,"stem":59,"number":60,"year":61,"session":26},"nurse-114-1-psychiatric-community-043","下列那些是骨質疏鬆的危險因子？①體重過重   ②飲食含鹽量過少   ③缺乏運動   ④飲酒過量   ⑤ 甲狀腺機能亢進",43,114,"2026-09-04",1788510717954]