[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-110-1-psychiatric-community-038":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-110-1-精神科與社區衛生護理學-038","nurse-110-1-psychiatric-community-038",110,1,38,"對於自殺行為與精神疾病之敘述，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"不是每一個憂鬱症的病人，都會出現自殺企圖行為","藥癮病人的自殺，主要是因為毒品使用過量，與憂鬱無關","憂鬱症個案在出院後，仍可能有自殺的危險性","思覺失調症病人可能受到幻覺控制而出現自殺企圖行為","B",null,[],"本題考點為自殺行為與精神疾病關聯的正確認識,採反向命題找錯誤者。考點在於辨識「藥癮病人自殺純因用藥過量、與憂鬱無關」為錯誤,故選B。依臨床事實,物質使用族群的自殺風險與共病憂鬱、衝動性及社會功能崩解密切相關,將其自殺一律歸因於用藥過量並排除憂鬱因素是錯誤的,故B錯誤(為應選之答案)。A正確,並非每位憂鬱症病人都會出現自殺企圖。C正確,憂鬱症個案出院後仍具自殺危險性,須持續評估。D正確,思覺失調症病人可能受幻覺(如命令式幻聽)驅使而出現自殺企圖。","自殺風險評估的關鍵原則:憂鬱、物質使用、思覺失調症皆為高危族群,且常彼此共病、交互加乘。物質使用透過失控衝動、判斷力下降、共病憂鬱與社會孤立多重機轉升高風險,絕非單一「用藥過量」可解釋——B的謬誤正在於用單因論切割掉憂鬱這個核心關聯。臨床上高風險時段包括出院後初期(C點出的重點,因功能未穩、支持減少、藥效與活力回升卻情緒未改善)。思覺失調症的命令式幻聽可命令病人自傷,是D的機轉。護理重點在持續、直接地評估自殺意念、計畫與可及性,並維持安全的環境與支持。",[24,27,30,32],{"term":25,"count":26},"自殺風險評估",7,{"term":28,"count":29},"命令式幻聽",2,{"term":31,"count":10},"物質使用與憂鬱共病",{"term":33,"count":10},"出院後高危期",[35,39,43,48,53,58],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-110-1-psychiatric-community-039","張先生 40 歲，被診斷為思覺失調症，因出現被害妄想，持長棍於住家樓下，對路過行人出現言語恐嚇之行為。經聯絡警消人員送醫後強制住院治療。入病室後病人出現激躁不安、神情緊張、用力拍門及對病友口出威脅的言語，下列何者是醫護人員應立即採取的措施？",39,{"webId":40,"stem":41,"number":42,"year":9,"session":29},"nurse-110-2-psychiatric-community-055","社區護理師與社區運動性社團共同推動健康體能活動，是依據社區健康營造的何種步驟？",55,{"webId":44,"stem":45,"number":46,"year":47,"session":10},"nurse-111-1-psychiatric-community-069","下列何者是社區健康營造計畫達到永續經營最重要的措施？",69,111,{"webId":49,"stem":50,"number":51,"year":52,"session":29},"nurse-112-2-psychiatric-community-027","有關酒精使用障礙症，下列敘述何者錯誤？",27,112,{"webId":54,"stem":55,"number":10,"year":56,"session":57},"nurse-113-3-psychiatric-community-001","有關治療性關係之特性，下列敘述何者正確？",113,3,{"webId":59,"stem":60,"number":61,"year":62,"session":57},"nurse-114-3-psychiatric-community-045","根據學校衛生法，學校護理師對學童健康問題，下列何者應最優先提供預防及矯治？",45,114,"2026-09-04",1788510722773]