[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-110-2-psychiatric-community-004":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-110-2-精神科與社區衛生護理學-004","nurse-110-2-psychiatric-community-004",110,2,4,"吳女士，診斷思覺失調症，坐在餐桌前，不斷以手拍打桌子，口中喊著說：「怎麼這麼多蟑螂，快來幫忙打蟑螂。」雖然護理師告訴她沒有蟑螂在桌上，但她仍堅持桌上看到許多蟑螂。此為下列何種精神症狀？",{"A":14,"B":15,"C":16,"D":17},"妄想（delusion）","自我感消失（depersonalization）","幻覺（hallucination）","失真感（derealization）","C",null,[],"本題考點在區分幻覺與妄想。依定義，幻覺(hallucination)是在無外界真實刺激下產生的知覺經驗，涉及五官感受；妄想(delusion)則是與事實不符且無法被說服的錯誤信念，屬思考內容障礙。題幹中吳女士「看到」實際不存在的蟑螂，是視幻覺，屬知覺障礙，故選C。A妄想是信念層面的錯誤，非知覺；B自我感消失指感覺自己不真實、像旁觀者；D失真感指感覺外在環境不真實、如夢境，兩者皆為解離症狀，與本題「看到不存在事物」的知覺扭曲不符。","知覺障礙分層記憶：錯覺(illusion)是對真實刺激的錯誤解讀，幻覺(hallucination)是無刺激的憑空知覺。思覺失調症最常見聽幻覺，其次視幻覺。鑑別關鍵在「有無外界真實刺激」與「是知覺(perception)還是信念(belief)」。depersonalization對自我、derealization對環境，兩者是解離光譜。可連結：正性症狀、思考內容vs思考形式障礙、DSM-5思覺失調症準則。",[24,27,29,31],{"term":25,"count":26},"幻覺",3,{"term":28,"count":10},"妄想",{"term":30,"count":10},"解離症狀",{"term":32,"count":33},"知覺障礙",1,[35,39,44,48,53,58],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-110-2-psychiatric-community-005","護理師問病人：「100 減 7 是多少？」然後連續減了五個 7。這種方式除了可以評估病人的計算能力外，還可以評估下列何種能力？",5,{"webId":40,"stem":41,"number":42,"year":43,"session":33},"nurse-111-1-psychiatric-community-021","李小姐因強迫症住院，今日母親探視時又因李小姐的強迫症狀而有爭執，母親離去後李小姐顯得焦躁不安。下列何種說法最有助於協助病人覺察自己的焦慮與行為間的關聯性？",21,111,{"webId":45,"stem":46,"number":47,"year":43,"session":10},"nurse-111-2-psychiatric-community-035","根據 DSM-5 診斷準則，智能不足嚴重度的分類，下列何者最不適當？",35,{"webId":49,"stem":50,"number":51,"year":52,"session":10},"nurse-112-2-psychiatric-community-073","有關長期照顧十年計畫 2.0 社區整體照護模式之 C 據點功能，下列何項錯誤？",73,112,{"webId":54,"stem":55,"number":56,"year":57,"session":26},"nurse-113-3-psychiatric-community-047","長期照顧十年計畫 2.0 社區整體照護模式 C 級巷弄長照站，下列敘述何者最合適？",47,113,{"webId":59,"stem":60,"number":61,"year":62,"session":33},"nurse-115-1-psychiatric-community-041","有關提升原住民慢性病健康照護政策之敘述，下列何者最不適當？",41,115,"2026-09-04",1788510730449]