[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-109-2-psychiatric-community-023":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":35,"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-109-2-精神科與社區衛生護理學-023","nurse-109-2-psychiatric-community-023",109,2,23,"楊女士 25 歲，半個月以來情緒高昂，不斷參加社交活動，一直找人講話，但話題常跳躍，若別人聽不懂，就生氣罵人，晚上不睡覺，半夜外出，家人擔心安危，故入院治療。下列何者最可能為楊女士的症狀？",{"A":14,"B":15,"C":16,"D":17},"躁症發作（manic episode）","焦慮症（anxiety disorder）","失智症（dementia）","創傷後壓力症","A",null,[],"本題考點在辨識躁症發作的核心症狀群。依 DSM 躁症診斷準則，需持續一段時間出現情緒高昂或易怒，並伴隨活動與精力增加、話多、意念飛躍、睡眠需求減少、過度參與活動等。楊女士半個月情緒高昂、不斷社交、話題跳躍（意念飛躍）、聽不懂就罵人（易怒）、不睡覺半夜外出，完全符合躁症的臨床圖像，故選 A。B 焦慮症以過度擔憂、緊張不安為主，並非情緒高昂與活動亢進。C 失智症為認知功能退化的老化相關疾病，25 歲且以情緒亢奮表現並不吻合。D 創傷後壓力症的特徵是創傷再經驗、逃避與過度警覺，題幹並無創傷事件與逃避表現，故排除。","躁症的意念飛躍（flight of ideas）是話題快速跳躍卻仍有鬆散連結，可與思覺失調的思考鬆散對比記憶。睡眠需求減少（精力充沛卻不覺累）不同於失眠（想睡卻睡不著），是躁症的重要鑑別點。可連結雙相情緒障礙的躁期／鬱期交替，以及鋰鹽、valproate 等情緒穩定劑的藥理概念延伸複習。",[24,27,30,33],{"term":25,"count":26},"躁症發作",8,{"term":28,"count":29},"意念飛躍",6,{"term":31,"count":32},"睡眠需求減少",1,{"term":34,"count":32},"DSM 躁症診斷準則",[36,40,45,49,54,58],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-109-2-psychiatric-community-024","承上題，楊女士有活動過多情形，安排下列何項活動較適合？①寫書法 ②繪畫 ③下棋 ④剪紙",24,{"webId":41,"stem":42,"number":43,"year":44,"session":32},"nurse-110-1-psychiatric-community-040","承上題，經醫護人員規勸，病人仍無法控制行為時，需進行身體約束隔離措施，下列敘述何者正確？ ①身體約束目的是由具體的身體控制，以保護病人不傷害自己及他人 ②執行身體約束過程中，無須告知病人執行目的和時間，只要注意約束過程確保人員安全即可 ③執行身體約束隔離時，每 15 分鐘應探視病人，評估生理狀況與需求 ④疏散現場圍觀者",40,110,{"webId":46,"stem":47,"number":48,"year":44,"session":10},"nurse-110-2-psychiatric-community-054","以人群為導向的社區衛生護理師，應具備的社區概念中，下列敘述何者不適當？",54,{"webId":50,"stem":51,"number":52,"year":53,"session":32},"nurse-112-1-psychiatric-community-012","有關團體治療的敘述，下列何者最適宜？",12,112,{"webId":55,"stem":56,"number":29,"year":57,"session":32},"nurse-113-1-psychiatric-community-006","汪小姐剛入住急性精神科病房，覺得門把骯髒，都使用紙張包覆才願意轉動把手，下列何項護理措施最適宜？",113,{"webId":59,"stem":60,"number":61,"year":62,"session":32},"nurse-114-1-psychiatric-community-050","有關氣喘之護理指導，下列何項最不適當？",50,114,"2026-09-04",1788510718010]