[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-110-2-psychiatric-community-025":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"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-110-2-精神科與社區衛生護理學-025","nurse-110-2-psychiatric-community-025",110,2,25,"有關急性壓力症（acute stress disorder），下列敘述何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"病人會出現易怒行為和無預警發怒","診斷的對象限於直接經歷創傷事件者","症狀困擾至少須持續 3 天以上","病人會避免接觸與創傷事件有關的物件或場合","B",null,[],"本題考點在急性壓力症(ASD)的診斷準則，屬選錯誤者。依DSM診斷準則，急性壓力症的暴露對象不限於直接經歷創傷者，還包括目擊他人遭遇、得知親近者遭逢創傷、或因職務反覆接觸創傷細節者，故選B「限於直接經歷創傷事件者」為錯誤敘述。A病人可出現易怒與無預警發怒，屬過度警覺症狀，正確；C急性壓力症症狀須持續至少3天(且在1個月內)，正確；D病人會逃避與創傷相關的人事物場合，屬逃避症狀，正確，皆符合診斷準則。","急性壓力症與創傷後壓力症(PTSD)症狀群相近(侵入、負向情緒、解離、逃避、過度警覺)，關鍵差別在時間：ASD病程3天至1個月內，超過1個月則診斷PTSD。暴露定義涵蓋直接經歷、目擊、獲知親友遭遇、反覆接觸創傷細節。口訣「ASD一個月內、PTSD超過一個月」。可連結：PTSD、創傷暴露定義、解離症狀、DSM-5準則。",[24,26,29,31],{"term":25,"count":10},"急性壓力症",{"term":27,"count":28},"創傷暴露定義",1,{"term":30,"count":28},"PTSD鑑別",{"term":32,"count":28},"DSM準則",[34,38,43,47,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-110-2-psychiatric-community-026","有關人格障礙症（personality disorder）的特性與病因，下列敘述何者較適當？",26,{"webId":39,"stem":40,"number":41,"year":42,"session":28},"nurse-111-1-psychiatric-community-042","有關社區衛生護理之特性，下列何者正確？①有較高的自主與獨立性 ②個案管理的時間較長 ③工作目標是限制殘障與復健 ④服務層面較廣",42,111,{"webId":44,"stem":45,"number":46,"year":42,"session":10},"nurse-111-2-psychiatric-community-056","政府為提升嚴重特殊傳染性肺炎（COVID-19）疫苗接種率，透過里幹事協助老人預約鄰近的診所，並發通知單提醒接種時間與地點。此方式是應用健康信念模式的那些要素？①增加行動線索 ②降低行動障礙認知 ③增進疾病嚴重度的認知 ④提升自我效能",56,{"webId":48,"stem":49,"number":50,"year":51,"session":52},"nurse-112-3-psychiatric-community-014","李同學就讀高中三年級，日前媽媽生病過世，李同學因為失落、哀傷住進急性病房，護理師在住院過程提供支持性心理治療（supportive psychotherapy），下列有關支持性心理治療概念的描述，何者錯誤？",14,112,3,{"webId":54,"stem":55,"number":56,"year":57,"session":28},"nurse-114-1-psychiatric-community-018","根據DSM-5診斷準則，有關智能不足適應功能的評估，下列何者最不適切？",18,114,{"webId":59,"stem":60,"number":61,"year":62,"session":10},"nurse-115-2-psychiatric-community-012","有關雙相情緒障礙症的治療，下列何者最適當？",12,115,"2026-09-04",1788510730679]