[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-110-1-psychiatric-community-021":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-021","nurse-110-1-psychiatric-community-021",110,1,21,"有關創傷後壓力症（post-traumatic stress disorder; PTSD）病人的治療處置，下列何者較適當？",{"A":14,"B":15,"C":16,"D":17},"若採用藥物治療，治療重點為以鋰鹽來緩解病人情緒症狀","若採用精神分析治療，治療重點為採用家庭系統學說來說明家庭間病態的溝通","若採用行為治療，治療重點為以洪水法協助病人逐步控制侵入性的創傷事件影像","若採用認知治療，治療重點為引導病人修正對創傷事件起因與結果的扭曲認知","D",null,[],"本題考點為創傷後壓力症(PTSD)各學派治療重點的正確配對。考點在於辨識「認知治療修正對創傷起因與結果的扭曲認知」,故選D。依認知治療理論,PTSD病人常對創傷事件的成因(如過度自責)與結果(如世界極度危險)形成扭曲認知,治療重點即在修正這些扭曲信念,故D正確。A錯在藥物治療首選為SSRI等抗憂鬱劑,鋰鹽主要用於雙相情緒障礙,並非PTSD重點。B錯在把家庭系統學說錯置於精神分析。C錯在行為治療的暴露法應循序漸進,「洪水法」屬一次大量暴露,不符合「逐步」的描述,前後矛盾。","PTSD的整合治療:藥物以SSRI\u002FSNRI為第一線;心理治療含認知處理治療(CPT)、延長暴露(PE)與眼動減敏(EMDR)。認知面著重打破「自責、世界全然危險、無法信任」等創傷後認知扭曲。暴露技術有兩種節奏——系統減敏\u002F漸進暴露是循序漸進,洪水法(flooding)是一次性高強度暴露,選項C把「洪水法」與「逐步控制」硬湊在一起自相矛盾,是典型的名詞張冠李戴陷阱。鋰鹽的定位(情緒穩定劑、雙相與抗自殺)也常被拿來與抗憂鬱劑混淆設題。",[24,26,28,30],{"term":25,"count":10},"PTSD認知治療",{"term":27,"count":10},"創傷後認知扭曲",{"term":29,"count":10},"暴露治療漸進vs洪水法",{"term":31,"count":10},"藥物SSRI首選",[33,37,42,47,52,57],{"webId":34,"stem":35,"number":36,"year":9,"session":10},"nurse-110-1-psychiatric-community-022","張小姐被診斷為做作型人格障礙症（histrionic personality disorder），護理師應事先了解病人的特性，才能客觀的與病人建立治療性關係，下列何者是張小姐較可能出現的行為？①利用自己身體外觀來吸引他人注意 ②展現快速轉變和膚淺表現的情緒 ③衝動、易怒、具攻擊性 ④常以不適當的性挑逗與他人交往",22,{"webId":38,"stem":39,"number":40,"year":9,"session":41},"nurse-110-2-psychiatric-community-038","有關「社區心理衛生中心」的主要服務內容，下列何者適當？",38,2,{"webId":43,"stem":44,"number":45,"year":46,"session":10},"nurse-111-1-psychiatric-community-052","下列何者為永續經營社區健康營造中心最不需考量的重點？",52,111,{"webId":48,"stem":49,"number":50,"year":51,"session":41},"nurse-112-2-psychiatric-community-010","下列何項為 BZD 類抗焦慮藥物？",10,112,{"webId":53,"stem":54,"number":55,"year":56,"session":41},"nurse-113-2-psychiatric-community-034","依學校衛生法，某國小全校班級數為 45 班，有關學校衛生人力配置之敘述，下列何者正確？",34,113,{"webId":58,"stem":59,"number":60,"year":61,"session":62},"nurse-114-3-psychiatric-community-028","有關腸病毒，下列敘述何者最不適當？",28,114,3,"2026-09-04",1788510722597]