[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-110-2-psychiatric-community-021":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"lastmod":64},"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":25},"nurse-110-2-精神科與社區衛生護理學-021","nurse-110-2-psychiatric-community-021",110,2,21,"有關躁症發作（manic episode）病人最常見的症狀，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"低自尊","意念飛躍","目標導向的活動減少","表情淡漠","B",null,[],"本題考點在躁症發作的核心症狀。依DSM躁症診斷特徵，病人思考快速、聯想加速，臨床表現為意念飛躍(flight of ideas)，是躁症最典型的思考形式障礙之一，故選B。A低自尊是憂鬱症的特徵，躁症反而表現為誇大自尊與過度自信；C目標導向活動「減少」與躁症相反，躁症是目標導向活動明顯增加(如過度計畫、購物、社交)；D表情淡漠屬憂鬱或思覺失調負性症狀表現，躁症則情感高昂、表情豐富誇張，皆與躁症症狀不符。","躁症DIG FAST助記：Distractibility分心、Insomnia睡眠需求減少、Grandiosity誇大、Flight of ideas意念飛躍、Activity活動增加、Speech多話壓迫性言語、Thoughtlessness衝動高風險行為。意念飛躍屬思考形式(process)障礙，需與思考內容誇大妄想區分。口訣DIG FAST。可連結：雙相情緒障礙、思考形式障礙、誇大、DSM躁症準則。",[24,26,29,31],{"term":15,"count":25},6,{"term":27,"count":28},"躁症",5,{"term":30,"count":10},"思考形式障礙",{"term":32,"count":10},"DIG FAST",[34,38,44,48,54,59],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-110-2-psychiatric-community-022","劉先生為思覺失調症病人，身體具異味，衣著髒亂，無法自行清潔身體，針對劉先生自我照顧功能退化的護理，下列何者正確？",22,{"webId":39,"stem":40,"number":41,"year":42,"session":43},"nurse-111-1-psychiatric-community-038","王小姐，45 歲，體重適中，是居住在社區的思覺失調症病人，因服用抗精神病藥物 clozapine，之後發現有代謝症候群。下列敘述何者最適當？",38,111,1,{"webId":45,"stem":46,"number":47,"year":42,"session":10},"nurse-111-2-psychiatric-community-052","某社區糖尿病盛行率高但運動風氣不佳，社區護理師邀請奧運國手拍攝規律運動的宣導短片，引發社區動力。這是使用下列那一種方法？",52,{"webId":49,"stem":50,"number":51,"year":52,"session":53},"nurse-112-3-psychiatric-community-010","有關認知障礙症病人的特性，下列敘述何者正確？",10,112,3,{"webId":55,"stem":56,"number":57,"year":58,"session":43},"nurse-114-1-psychiatric-community-014","林先生總是表現出自己很優越，看不起醫護人員，認為自己是群體中最重要的人，且擁有特權。護理師針對此自戀行為（narcissistic）之應對方式，下列何者最適切？",14,114,{"webId":60,"stem":61,"number":62,"year":63,"session":10},"nurse-115-2-psychiatric-community-008","王小姐，診斷思覺失調症，主要症狀為被害妄想、多疑，難以與他人建立信任關係，下列那些符合環境治療的原則？①採取主動友善的態度，密集與其互動 ②注意環境並定時安檢，維護其他病人的安全 ③僅在必要時給予簡要的問候，不過度主動關心 ④暫時停止其所有的團體活動，以降低其妄想與多疑",8,115,"2026-09-04",1788510730637]