[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-109-2-psychiatric-community-027":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"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-027","nurse-109-2-psychiatric-community-027",109,2,27,"王小姐，1 年多來在電梯內及地下室特別容易焦慮不安及恐懼，會儘量迴避到這些場所，雖能認知此種害怕並不合理，但自己卻無法控制，其症狀最有可能為下列何項？",{"A":14,"B":15,"C":16,"D":17},"社交畏懼症（social phobia）","恐慌症","特定場所恐懼症（agoraphobia）","是一種長期性非情境性的慢性焦慮","C",null,[],"本題考點在情境性畏懼症的鑑別。特定場所恐懼症（agoraphobia）的核心是害怕身處難以迅速逃離或求助的場所（如電梯、地下室、密閉或空曠處），並主動迴避，患者常自知不合理卻無法控制。王小姐對電梯、地下室特別焦慮並儘量迴避，正符合此定義，故選 C。A 社交畏懼症的恐懼焦點在於被他人注視或負面評價的社交情境，而非場所本身。B 恐慌症以反覆突發、無預警的恐慌發作為主，題幹強調的是特定場所的迴避而非發作本身。D 屬長期非情境性的慢性焦慮（廣泛性焦慮），與本題明確受特定場所觸發的情境性焦慮相反，故排除。","畏懼症鑑別可抓「怕什麼」：agoraphobia 怕逃不掉的場所、social phobia 怕被評價的人際情境、specific phobia 怕特定物體或動物。「知道不合理卻控制不了」是畏懼症共通特徵，反映焦慮的自我不協調（ego-dystonic）。可連結暴露療法、系統減敏感法與認知行為治療延伸複習。",[24,27,29,32],{"term":25,"count":26},"迴避行為",3,{"term":28,"count":10},"畏懼症鑑別",{"term":30,"count":31},"特定場所恐懼症",1,{"term":33,"count":31},"情境性焦慮",[35,39,44,48,53,58],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-109-2-psychiatric-community-028","王同學診斷妄想症，某科考試不及格，出現易怒，無法與人互動，最近因為症狀嚴重故入院治療，住院第 4 天，會談時表示同學們忌妒他成績比較好，都會中傷他，老師也受到其他同學的挑撥，對他特別嚴格，會談中出現哭泣現象，此時護理師的措施何者最適切？",28,{"webId":40,"stem":41,"number":42,"year":43,"session":31},"nurse-110-1-psychiatric-community-044","有關流行病學世代研究法（cohort study），下列何者較適當？①適合研究罕見致癌因子 ②能描述疾病之自然史 ③能探討因果關係 ④可能出現訪談誤差（interview bias）",44,110,{"webId":45,"stem":46,"number":47,"year":43,"session":10},"nurse-110-2-psychiatric-community-058","依據跨理論模式（transtheoretical model），王女士陳述「我想要運動，但就是找不到時間。如果我能每週運動 3 天，我對於自己的感覺會比較好。」，依據王女士目前所處的行為改變階段，下列何種方法最適當？",58,{"webId":49,"stem":50,"number":51,"year":52,"session":31},"nurse-112-1-psychiatric-community-016","趙女士，身高 165 公分，診斷為憂鬱症，近 2 週食慾不佳，每餐只喝少許果汁，體重從 55 公斤降至 45 公斤。依據上述症狀，何者為最適宜的護理診斷？",16,112,{"webId":54,"stem":55,"number":56,"year":57,"session":31},"nurse-113-1-psychiatric-community-010","有關思覺失調症病人出現生活懶散、缺乏動機，下列何項護理措施最不適切？",10,113,{"webId":59,"stem":60,"number":61,"year":62,"session":10},"nurse-114-2-psychiatric-community-004","長期使用鋰鹽（Lithium）治療雙相情緒障礙症（bipolar disorder），下列何項是必須定期檢查的項目？①甲狀腺功能 ②肺功能 ③肝臟功能 ④腎臟功能",4,114,"2026-09-04",1788510718054]