[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-110-1-psychiatric-community-003":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-110-1-精神科與社區衛生護理學-003","nurse-110-1-psychiatric-community-003",110,1,3,"黃先生，55 歲，被診斷為思覺失調症，與案母同住，服藥不規則，須由案母提醒他吃藥。一個月前，案母因病過世，黃先生認為鄰居透過社區的 LINE 群組說他的壞話，因此作勢要攻擊鄰居。黃先生最可能有以下何種症狀？",{"A":14,"B":15,"C":16,"D":17},"關係妄想（delusion of reference）","誇大妄想（delusion of grandeur）","虛無妄想（nihilistic delusion）","嫉妒妄想（delusion of jealousy）","A",null,[],"本題考點是妄想的分類辨識。考點在於病人將中性的外在事件(鄰居在 LINE 群組交談)錯誤解讀為與自己有關且針對自己,這種把無關訊息連結到自身的信念屬於關係妄想,故選 A。選項 B 誇大妄想是自認具有超凡能力或身分地位;C 虛無妄想是堅信自己或世界不存在、已死亡或器官腐壞;D 嫉妒妄想是無據地堅信配偶或伴侶不忠,均與本題情境不符。判斷關鍵在於辨識『把他人言行解讀成針對自己』正是關係妄想的核心特徵。","妄想是與現實不符且無法被說服修正的固著信念,常見類型:被害妄想覺得被跟監加害、關係妄想把無關事件連到自身、誇大妄想自認偉大、虛無妄想否定存在、身體妄想堅信患病、嫉妒妄想懷疑伴侶不忠、被控制妄想覺得思想行為受外力操控。本題病人在喪母壓力後將鄰居交談解讀為說自己壞話,是關係妄想的典型。記憶:『關係=事事關我』。溝通時宜接納其情緒感受而不與其爭辯內容真偽。可連結思覺失調正性症狀與現實感評估複習。",[24,27,29,31],{"term":25,"count":26},"關係妄想",2,{"term":28,"count":10},"妄想分類",{"term":30,"count":10},"現實錯誤連結",{"term":32,"count":10},"思覺失調症狀",[34,38,42,47,52,57],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-110-1-psychiatric-community-004","有關兒童精神疾病的敘述，下列何者正確？",4,{"webId":39,"stem":40,"number":41,"year":9,"session":26},"nurse-110-2-psychiatric-community-020","憂鬱症病人常伴有退化行為而導致自我照顧能力缺失，護理師提供的相關護理措施，下列何者錯誤？",20,{"webId":43,"stem":44,"number":45,"year":46,"session":10},"nurse-111-1-psychiatric-community-034","5 歲的小欣被愛上網咖的父母親獨自留在家裡 3 天了，被發現時只有桌上放一瓶水和一些零食。較屬於下列何項家庭暴力？",34,111,{"webId":48,"stem":49,"number":50,"year":51,"session":10},"nurse-112-1-psychiatric-community-072","王老先生因為失能遷居入住護理之家，關於遷移壓力症候群之照護措施，下列敘述何者較不適宜？",72,112,{"webId":53,"stem":54,"number":55,"year":56,"session":26},"nurse-113-2-psychiatric-community-016","蕭小姐，46 歲，育有二子，因先生外遇，最近離婚後獨居，整日鬱鬱寡歡沉默不語，近日突出現語言障礙，發聲困難及奇異步態，影響日常作息，住院後神經學檢查無異常，下列護理措施何者最適切？",16,113,{"webId":58,"stem":59,"number":60,"year":61,"session":11},"nurse-114-3-psychiatric-community-010","有關解離性失憶症（dissociative amnesia）的護理措施，下列何者最適當？",10,114,"2026-09-04",1788510722406]