[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-111-1-psychiatric-community-018":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-018","nurse-111-1-psychiatric-community-018",111,1,18,"有關思覺失調症（Schizophrenia）病程進展的描述，下列何者最適當？",{"A":14,"B":15,"C":16,"D":17},"前驅期以正性症狀為主，出現功能衰退的表現","發病期的發作一般與心理社會壓力事件有關","前驅期常常出現暴力或自傷行為","殘留期通常發生在青少年階段","B",null,[],"本題考點為思覺失調症病程進展的正確描述。發病期（活躍期）的發作常與心理社會壓力事件相關，壓力可誘發或加重正性症狀，故 B 正確，選 B。A 錯，前驅期以「負性症狀」與功能逐漸衰退為主，如社會退縮、動機下降，而非正性症狀。C 錯，前驅期表現多為隱微的功能退化與怪異想法，暴力或自傷並非其典型特徵。D 錯，殘留期是發病後症狀趨於平緩、以負性與認知症狀殘存的階段，多發生於病程後期，而非青少年階段；青少年至成年早期通常是初次發病的好發年齡。","思覺失調症病程可分前驅期、活躍期與殘留期：前驅期隱襲出現負性症狀、社會功能滑落與知覺想法的細微異常；活躍期以妄想、幻覺、思考混亂等正性症狀為主，常由壓力事件觸發（呼應壓力—體質模型 stress-diathesis model）；殘留期正性症狀減退，遺留負性與認知缺損。好發於青少年後期至成年早期，男性略早於女性。可連結正性與負性症狀分類、壓力體質模型與早期介入的預後意義。記憶重點：前驅負性、活躍正性且與壓力相關、殘留以負性為主。",[24,27,29,31,33],{"term":25,"count":26},"思覺失調症病程",2,{"term":28,"count":10},"前驅期負性症狀",{"term":30,"count":10},"活躍期正性症狀",{"term":32,"count":10},"壓力體質模型",{"term":34,"count":10},"殘留期",[36,40,44,49,54,59],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-111-1-psychiatric-community-019","小君，診斷為思覺失調症（Schizophrenia），可規則服藥，在大賣場工作自覺可以勝任，但近來懷疑組長挑剔她，以咳嗽暗示要她辭職。下列何者為目前最主要的護理問題？",19,{"webId":41,"stem":42,"number":43,"year":9,"session":26},"nurse-111-2-psychiatric-community-035","根據 DSM-5 診斷準則，智能不足嚴重度的分類，下列何者最不適當？",35,{"webId":45,"stem":46,"number":47,"year":48,"session":10},"nurse-112-1-psychiatric-community-049","某研究欲探討過去 5 年暴露於空氣污染的環境與肺癌之關係，收集 1,000 位肺癌及 1,000 位無肺癌個案進行分析，這是屬於下列何種研究方法？",49,112,{"webId":50,"stem":51,"number":52,"year":53,"session":10},"nurse-113-1-psychiatric-community-037","有關細懸浮微粒（PM2.5）的敘述，下列何者最適當？",37,113,{"webId":55,"stem":56,"number":57,"year":58,"session":26},"nurse-114-2-psychiatric-community-041","利用高濃度的食鹽或砂糖保存食物，屬於何種保存法？",41,114,{"webId":60,"stem":61,"number":43,"year":62,"session":10},"nurse-106-1-psychiatric-community-035","依據精神衛生法第 45 條，嚴重精神病人於急性病房出院返家後，仍無病識感且拒絕服藥，精神症狀仍相當不穩定，病人表示不要再回到醫院去治療，且也拒絕接受社區強制治療，下列說明何者正確？",106,"2026-09-04",1788510736301]