[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-110-2-psychiatric-community-026":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-026","nurse-110-2-psychiatric-community-026",110,2,26,"有關人格障礙症（personality disorder）的特性與病因，下列敘述何者較適當？",{"A":14,"B":15,"C":16,"D":17},"與自我（ego）的功能薄弱有關，導致自我控制力較差","與遺傳無關，於嬰幼兒時期人格發展過程中形成障礙","與血清素代謝物（5-HIAA）過高有關，常會有自殺企圖、衝動控制力差","與青春期或成年早期的發展無關，宜以現有症狀表現進行診斷","A",null,[],"本題考點在人格障礙症的特性與病因。依精神動力觀點，人格障礙與自我(ego)功能薄弱有關，導致衝動控制與情緒調節能力較差，故選A最適當。B人格發展受遺傳與早期環境交互影響，說「與遺傳無關」過於絕對且與研究不符；C血清素代謝物5-HIAA「過低」而非過高，才與衝動、攻擊及自殺傾向相關，數值方向敘述錯誤；D人格障礙的形成與青春期及成年早期的發展密切相關，DSM也要求症狀溯及青少年或成年早期,說「與其發展無關」不正確，皆不適當。","人格障礙成因為生物-心理-社會多因子：氣質遺傳、早期依附與教養、自我防衛結構薄弱。低5-HIAA(血清素代謝物偏低)與衝動、攻擊、自殺相關，是常考陷阱(記得是「低」不是「高」)。DSM要求特質穩定且可回溯至青少年或成年早期。口訣「5-HIAA低則衝動」。可連結：自我功能、血清素、依附理論、B群人格障礙。",[24,26,28,31],{"term":25,"count":10},"自我功能",{"term":27,"count":10},"衝動控制",{"term":29,"count":30},"人格障礙症",1,{"term":32,"count":30},"5-HIAA",[34,38,43,47,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-110-2-psychiatric-community-027","邱同學在會考前 1 個月，每次學校模擬考時都感到右手無力，被家人送到神經內科求診，但經多科醫師會診及檢查，卻找不到任何跟生理病變有關的證據，邱同學最有可能是下列何項診斷？",27,{"webId":39,"stem":40,"number":41,"year":42,"session":30},"nurse-111-1-psychiatric-community-043","劉小姐，50 歲，其可使用的全民健康保險中的預防保健服務，下列何者正確？①每年一次的成人健康檢查 ②每 3 年一次的成人健康檢查 ③每 2 年一次的婦女子宮頸抹片檢查 ④每 2 年一次的乳房攝影檢查",43,111,{"webId":44,"stem":45,"number":46,"year":42,"session":10},"nurse-111-2-psychiatric-community-057","社區護理師於社區關懷據點推動健康飲食計畫，記錄每次活動參與人數，是屬於下列何者護理指導的評價？",57,{"webId":48,"stem":49,"number":50,"year":51,"session":52},"nurse-112-3-psychiatric-community-015","林先生患第一型雙相情緒障礙症（Bipolar I Disorder）多年，當其在躁症發作時，很容易與人起衝突，而出現攻擊行為，下列護理措施何者正確？①將病人留在現場 ②鼓勵病人以言語表達其感受 ③必要時，帶入保護室隔離 ④以堅定口氣指示病人適當的行為",15,112,3,{"webId":54,"stem":55,"number":56,"year":57,"session":30},"nurse-114-1-psychiatric-community-019","陳小弟，上課時容易分心、坐不住、喜歡往外跑，不受控制的行為讓老師很困擾。陳小弟最可能出現以下何項問題？",19,114,{"webId":59,"stem":60,"number":61,"year":62,"session":10},"nurse-115-2-psychiatric-community-013","小蕙，21 歲，因嚴重幻聽和混亂行為，被診斷思覺失調症。有關影響疾病預後較好的因素，下列何者最適當？",13,115,"2026-09-04",1788510730696]