[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-110-2-psychiatric-community-024":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":36,"lastmod":65},"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-024","nurse-110-2-psychiatric-community-024",110,2,24,"有關強迫症（obsessive-compulsive disorder, OCD）病人的敘述，下列何者最適當？",{"A":14,"B":15,"C":16,"D":17},"病人通常缺乏病識感，無法理解這些強迫性想法","病人常使用內射之防衛機轉，化解內在的衝突不安","病人通常發病前即有求全、完美的傾向，強調事情的是非，缺少通融變化","病人對其所患之強迫思想或行為常覺得不合理或並非自己所願，但尚可抗拒","C",null,[],"本題考點在強迫症(OCD)病人的病前人格與臨床特徵。依OCD相關研究，病人發病前常有求全、完美、強調是非對錯、缺乏彈性通融的強迫型人格傾向，故選C。A OCD病人通常保有病識感，能理解自己的強迫想法不合理，說「缺乏病識感」錯誤；B OCD常見防衛機轉是「抵消(undoing)」、「反向作用」與「隔離」，而非「內射」，張冠李戴；D描述雖接近正確，但未如C點出病前完美性格傾向，C較全面且無誤，為最佳答案。","OCD特徵：強迫思考(intrusive、自我不協調ego-dystonic、有病識感)與強迫行為(用以降低焦慮)。病前常見強迫型人格特質(完美、固執、道德嚴苛)。核心防衛機轉為抵消、反向作用、隔離。與強迫型人格障礙(OCPD)不同，後者缺乏病識感且自我協調。口訣「明知不合理仍反覆」。可連結：強迫思考與行為、防衛機轉、OCPD鑑別、血清素假說。",[24,27,30,33],{"term":25,"count":26},"病識感",11,{"term":28,"count":29},"防衛機轉",8,{"term":31,"count":32},"強迫症",6,{"term":34,"count":35},"強迫型人格",1,[37,41,46,50,56,61],{"webId":38,"stem":39,"number":40,"year":9,"session":10},"nurse-110-2-psychiatric-community-025","有關急性壓力症（acute stress disorder），下列敘述何者錯誤？",25,{"webId":42,"stem":43,"number":44,"year":45,"session":35},"nurse-111-1-psychiatric-community-041","有關健康融入所有政策（health in all policies）的概念，下列敘述何者正確？",41,111,{"webId":47,"stem":48,"number":49,"year":45,"session":10},"nurse-111-2-psychiatric-community-055","護理師進行社區評估，運用政府或相關機構的統計資料，是屬於何種評估方法？",55,{"webId":51,"stem":52,"number":53,"year":54,"session":55},"nurse-112-3-psychiatric-community-013","28 歲男性病人，因嚴重精神病症狀，語無倫次及攻擊他人，連續注射 5 mg 的 haloperidol（Haldol ® ）達每天 20～30 mg，護理師發現他的生命徵象極不穩定、吞嚥困難、全身冒汗，對此抗精神病藥物惡性症候群，下列何項敘述最適切？",13,112,3,{"webId":57,"stem":58,"number":59,"year":60,"session":35},"nurse-114-1-psychiatric-community-017","有關使用嗎啡之敘述，下列何者正確？",17,114,{"webId":62,"stem":63,"number":26,"year":64,"session":10},"nurse-115-2-psychiatric-community-011","張先生是一位思覺失調症病人，住院期間常摀著耳朵自言自語說：「有人一直在罵我，叫我去死！」護理師發現他因此情緒顯得很焦慮。下列護理師的處置，何者最適當？",115,"2026-09-04",1788510730674]