[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-110-2-psychiatric-community-027":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-027","nurse-110-2-psychiatric-community-027",110,2,27,"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？",{"A":14,"B":15,"C":16,"D":17},"身體症狀障礙症（somatic symptom disorder）","罹病焦慮症（illness anxiety disorder）","轉化症（conversion disorder）","人為障礙症（factitious disorder）","C",null,[],"本題考點在轉化症(conversion disorder)的診斷辨識。依診斷準則，轉化症是心理壓力轉化為神經功能症狀(如肢體無力、麻痺、失明)，經檢查卻找不到相符的器質性病變。邱同學在考試壓力下出現右手無力、查無生理病因，符合轉化症，故選C。A身體症狀障礙症以對身體症狀的過度想法、感受與行為為主，症狀多樣且不限神經功能；B罹病焦慮症的核心是「害怕或深信自己罹患重病」，而非實際出現的功能障礙；D人為障礙症是「刻意偽裝或製造」症狀以獲取病人角色，邱同學症狀與壓力連結、非蓄意假造，皆不符。","轉化症(功能性神經症狀障礙)特徵：神經功能缺損(運動或感覺)、與可辨識的心理壓力時序相關、查無器質病因、且非刻意偽裝。可見「泰然漠視(la belle indifférence)」。鑑別關鍵：轉化症=真實但心因的神經症狀；罹病焦慮=怕生病;人為障礙=故意裝病求病人角色;詐病=為外在利益裝病。口訣「壓力變手軟」。可連結：身體症狀相關障礙、初級\u002F次級獲益、心理防衛。",[24,27,29,32],{"term":25,"count":26},"轉化症",3,{"term":28,"count":10},"泰然漠視",{"term":30,"count":31},"身體症狀相關障礙",1,{"term":33,"count":31},"心因性神經症狀",[35,39,44,48,53,58],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-110-2-psychiatric-community-028","有關物質使用障礙心理治療的敘述，下列何者錯誤？",28,{"webId":40,"stem":41,"number":42,"year":43,"session":31},"nurse-111-1-psychiatric-community-044","有關「急性病毒性Ａ型肝炎」的敘述，下列何者錯誤？",44,111,{"webId":45,"stem":46,"number":47,"year":43,"session":10},"nurse-111-2-psychiatric-community-058","有關健康促進介入措施描述，下列何者最不適當？",58,{"webId":49,"stem":50,"number":51,"year":52,"session":26},"nurse-112-3-psychiatric-community-016","李同學，18 歲，第一次被診斷為第一型雙相情緒障礙症，護理師向李同學及家屬進行護理指導時，下列何者最適宜？",16,112,{"webId":54,"stem":55,"number":56,"year":57,"session":31},"nurse-114-1-psychiatric-community-020","有關老年憂鬱症的敘述，下列何者最不適切？",20,114,{"webId":59,"stem":60,"number":61,"year":62,"session":10},"nurse-115-2-psychiatric-community-014","一位 30 歲男性，診斷反社會型人格障礙，因酒駕肇事被強制送醫，住院期間不斷抱怨醫院伙食、環境，並對醫護人員咆哮，甚至出現言語威脅。下列那項護理措施最為適切？",14,115,"2026-09-04",1788510730706]