[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-110-1-psychiatric-community-017":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":32,"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":10},"nurse-110-1-精神科與社區衛生護理學-017","nurse-110-1-psychiatric-community-017",110,1,17,"鬱症發作（depressive episode）的典型臨床特徵，下列何者較適當？",{"A":14,"B":15,"C":16,"D":17},"意念飛躍","自我價值感低","怕獨處而活動多","無睡眠障礙","B",null,[],"本題考點為鬱症發作(depressive episode)的典型臨床特徵。考點在於辨識「自我價值感低」為核心症狀,故選B。依DSM-5鬱症準則,憂鬱發作以持續低落情緒、興趣減退,並伴無價值感、罪惡感、精神動作遲滯與睡眠障礙為特徵,故B正確。A「意念飛躍」錯在那是躁症發作的思考特徵,非鬱症。C「怕獨處而活動多」錯在鬱症典型為活動與動機減退、退縮,而非活動增多。D「無睡眠障礙」錯在鬱症常見失眠或嗜睡等睡眠困擾,選項尾端夾雜的頁碼字樣為試卷版面雜訊,不影響判讀。","鬱症九大症狀口訣(SIGECAPS加情緒):情緒低落、興趣喪失、罪惡無價值、精力下降、專注差、食慾體重變化、睡眠障礙、精神動作遲滯或激動、自殺意念。本題以「躁症特徵(意念飛躍、活動多)」與「否定睡眠障礙」兩種方式設反向陷阱。鑑別重點:意念飛躍、活動量增加屬躁症,精神動作遲緩、退縮屬鬱症。自我價值感低連結認知三角(對自己、世界、未來的負向認知),是認知治療的介入標的,也解釋了為何鬱症與自殺風險高度相關。",[24,26,28,30],{"term":25,"count":10},"DSM-5鬱症發作準則",{"term":27,"count":10},"無價值感",{"term":29,"count":10},"精神動作遲滯",{"term":31,"count":10},"與躁症意念飛躍鑑別",[33,37,42,47,52,57],{"webId":34,"stem":35,"number":36,"year":9,"session":10},"nurse-110-1-psychiatric-community-018","王小姐被診斷為憂鬱症，她最常使用的防衛機轉，下列敘述何者正確？",18,{"webId":38,"stem":39,"number":40,"year":9,"session":41},"nurse-110-2-psychiatric-community-034","有關罹患注意力缺陷過動症（ADHD）學齡期兒童的治療計畫，下列敘述何者錯誤？",34,2,{"webId":43,"stem":44,"number":45,"year":46,"session":10},"nurse-111-1-psychiatric-community-048","有關登革熱的敘述，下列何者錯誤？",48,111,{"webId":48,"stem":49,"number":50,"year":51,"session":41},"nurse-112-2-psychiatric-community-006","陳女士，35 歲，診斷雙相情緒障礙症，護理師在詢問家族病史中得知此次是陳女士首次發病，她的母親也是雙相情緒障礙症的病人，依病因模式，最符合以下何項病因因素？",6,112,{"webId":53,"stem":54,"number":55,"year":56,"session":41},"nurse-113-2-psychiatric-community-030","藉由病媒蚊傳播的疾病，下列何者正確？①流行性斑疹傷寒 ②黃熱病 ③瘧疾 ④炭疽病 ⑤茲卡病毒感染症",30,113,{"webId":58,"stem":59,"number":60,"year":61,"session":62},"nurse-114-3-psychiatric-community-024","張先生為慢性思覺失調症病人，剛住進康復之家，下列何者是張先生最適當的復健目標？",24,114,3,"2026-09-04",1788510722555]