[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-111-1-psychiatric-community-015":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":35,"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-111-1-精神科與社區衛生護理學-015","nurse-111-1-psychiatric-community-015",111,1,15,"根據 DSM-5 診斷準則，經期前情緒低落症（Premenstrual Dysphoric Disorder）的症狀，下列何者最不適當？",{"A":14,"B":15,"C":16,"D":17},"月經前 1 週出現易怒、焦慮、緊張","月經前 1 週出現專注力降低、易疲勞、失去控制感","月經來潮後幾天內症狀會改善","症狀不會影響工作效率","D",null,[],"本題考點為經期前情緒低落症（PMDD）DSM-5 診斷準則的辨識，題目要選「最不適當」者。DSM-5 明訂 PMDD 的症狀須「顯著影響工作、社交或日常功能」才符合診斷，故 D 稱症狀不會影響工作效率與準則相反，最不適當，選 D。A 正確，月經前一週出現易怒、焦慮、緊張屬核心情緒症狀。B 正確，專注力降低、易疲勞、失去控制感為常見伴隨症狀。C 正確，症狀於月經來潮後數日內明顯改善、濾泡期後緩解，此週期性正是與其他情緒障礙的鑑別要點。","PMDD 是月經週期相關的情緒障礙，症狀在黃體期（月經前一週）出現、經後濾泡期緩解，此「週期性」與「功能損害」是診斷雙要件。核心症狀含明顯情緒不穩、易怒、憂鬱、焦慮，加上專注力、精力、食慾與睡眠等身心症狀，且須造成臨床顯著困擾或功能損害。與經前症候群（PMS）相比，PMDD 情緒症狀更重、達診斷閾值。病生理可能與性荷爾蒙波動影響血清素系統有關，故 SSRI 為常用治療。可連結 DSM-5 診斷架構與月經週期生理。記憶重點：有週期、更要有「功能受損」才成診斷。",[24,27,29,31,33],{"term":25,"count":26},"DSM-5 診斷準則",2,{"term":28,"count":26},"功能損害要件",{"term":30,"count":10},"經期前情緒低落症",{"term":32,"count":10},"黃體期症狀",{"term":34,"count":10},"與經前症候群鑑別",[36,40,44,49,54,59],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-111-1-psychiatric-community-016","林先生因為雙相情緒障礙症（Bipolar Disorder）躁症發作住院，主要治療藥物為鋰鹽、carbamazepine （Tegretol ® ）。護理師發現林先生顯得倦怠、無力，緊急抽血鋰鹽濃度為 0.8 mEq\u002FL、Na 為 120 mEq\u002FL。下列何項護理措施最適當？",16,{"webId":41,"stem":42,"number":43,"year":9,"session":26},"nurse-111-2-psychiatric-community-032","有關老年精神病人的藥物治療，下列敘述何者最適當？",32,{"webId":45,"stem":46,"number":47,"year":48,"session":10},"nurse-112-1-psychiatric-community-046","有關流行病學研究方法的敘述，下列何者較不適宜？",46,112,{"webId":50,"stem":51,"number":52,"year":53,"session":10},"nurse-113-1-psychiatric-community-034","有關健康促進與疾病預防概念之敘述，下列那些正確？①健康促進對象為全體民眾 ②疾病預防的對象為疾病高危險群 ③健康促進是要避免某行為發生 ④疾病預防是積極拓展健康潛能 ⑤健康促進能使個人潛能發揮至最佳狀態",34,113,{"webId":55,"stem":56,"number":57,"year":58,"session":26},"nurse-114-2-psychiatric-community-038","根據室內空氣品質標準，室內空氣 8 小時二氧化碳濃度的標準值，下列何者正確？",38,114,{"webId":60,"stem":61,"number":43,"year":62,"session":10},"nurse-106-1-psychiatric-community-032","關於飲食障礙病人於急性病房住院第一階段的飲食行為約定內容，下列何者正確？",106,"2026-09-04",1788510736256]