[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-110-1-psychiatric-community-014":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-014","nurse-110-1-psychiatric-community-014",110,1,14,"有關妄想症（delusional disorder）的敘述，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"出現至少持續兩週的妄想","人格異常是妄想症的危險因子之一","導因是因為物質使用或身體病況的生理效應","行為明顯的奇特或怪異","B",null,[],"本題考點為妄想症(delusional disorder)的DSM-5診斷特徵。考點在於辨識人格特質為其危險因子,故選B。依DSM-5,妄想症以「非怪異(non-bizarre)、可能發生於現實」的妄想為主,病前人格如偏執、多疑等異常特質是重要危險因子,故B正確。A錯在病程要求為至少持續一個月而非兩週。C錯在若妄想是物質使用或身體病況的生理效應所致,則應診斷為其他類別,妄想症本身須排除這些成因。D錯在妄想症病人行為與功能相對正常、不明顯怪異奇特,這正是與思覺失調症的鑑別點。","妄想症的四大鑑別重點:期程「至少一個月」、妄想屬「非怪異型」、排除物質或身體病況所致、且除妄想及其衍生影響外功能大致正常、行為不明顯怪異。這與思覺失調症形成對比:後者常見怪異妄想、幻覺、功能全面退化。記憶口訣「一個月、不怪異、功能好、要排除」。病前偏執性人格(paranoid traits)是常被考的危險因子。臨床亞型包含被害型、忌妒型、鍾情型、誇大型、身體型,選項A的兩週常與鬱症發作或短期精神病症的期程混淆設陷阱。",[24,27,29,31],{"term":25,"count":26},"與思覺失調症鑑別",3,{"term":28,"count":10},"DSM-5妄想症診斷準則",{"term":30,"count":10},"非怪異型妄想",{"term":32,"count":10},"病前人格危險因子",[34,38,43,48,52,57],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-110-1-psychiatric-community-015","牛先生，最近被診斷為憂鬱症，醫師開立服用 sertraline（Zoloft ® ）藥物治療，有關 Zoloft 之敘述，下列何者正確？①選擇性血清素回收抑制劑（SSRIs） ②血清素－正腎上腺素回收抑制劑（SNRIs） ③一般持續服用 2 週以上才有療效出現 ④服藥會有嗜睡、噁心嘔吐等副作用",15,{"webId":39,"stem":40,"number":41,"year":9,"session":42},"nurse-110-2-psychiatric-community-031","針對阿茲海默氏症引起重度認知障礙症的敘述，下列何者最適當？",31,2,{"webId":44,"stem":45,"number":46,"year":47,"session":10},"nurse-111-1-psychiatric-community-045","下列那一項指標，最能反映一個國家的經濟負擔狀況？",45,111,{"webId":49,"stem":50,"number":26,"year":51,"session":42},"nurse-112-2-psychiatric-community-003","將自己內在無法接受的想法、慾望或衝動，歸咎成他人，讓自己減少一份威脅、危險，同時也增加一份保護的作用，此最可能為下列何種心理防衛機轉？",112,{"webId":53,"stem":54,"number":55,"year":56,"session":42},"nurse-113-2-psychiatric-community-027","居家護理師發現一位老年個案有多重用藥狀況，下列護理措施何者最不適當？",27,113,{"webId":58,"stem":59,"number":60,"year":61,"session":26},"nurse-114-3-psychiatric-community-021","有關家庭暴力，下列敘述何者最適當？",21,114,"2026-09-04",1788510722517]