[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-111-2-psychiatric-community-008":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":11},"nurse-111-2-精神科與社區衛生護理學-008","nurse-111-2-psychiatric-community-008",111,2,8,"羅小姐，30 歲，診斷為雙相情緒障礙症，居家護理師至其家中訪視，發現可能是躁症發作。下列何者為其最可能出現的症狀？",{"A":14,"B":15,"C":16,"D":17},"淡漠、病識感差、思考貧乏","焦慮、身體症狀、睡眠中斷","高昂、活動量大、判斷力差","社交隔離、妄想、音韻連結","C",null,[],"本題考點為雙相情緒障礙症躁症發作的症狀。躁症典型表現為情緒高昂或易怒、活動量大、精力旺盛、睡眠需求減少、判斷力差與衝動行為(如過度消費)。C「高昂、活動量大、判斷力差」正是躁症核心表現,為答案。A「淡漠、病識感差、思考貧乏」偏向思覺失調症的負性症狀;B「焦慮、身體症狀、睡眠中斷」較符合焦慮症或憂鬱表現;D「社交隔離、妄想、音韻連結」偏向思覺失調症的症狀。考點在於辨識躁症「情緒高昂、過動、判斷力受損」的三大特徵,並與思覺失調症負性症狀、焦慮症區隔。","躁症診斷可用助記詞 DIG FAST:Distractibility(注意力分散)、Insomnia\u002F睡眠需求減少、Grandiosity(誇大)、Flight of ideas(意念飛躍)、Activity 增加、Speech 增多(說話快)、Thoughtlessness\u002F冒險行為。判斷力差導致高風險行為為安全照護重點。輕躁症症狀較輕、不至嚴重功能損害或住院。",[24,26,29,32],{"term":25,"count":11},"躁症發作",{"term":27,"count":28},"雙相情緒障礙症",4,{"term":30,"count":31},"情緒高昂",1,{"term":33,"count":31},"判斷力受損",[35,39,44,48,54,59],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-111-2-psychiatric-community-009","有關病人服用精神科相關藥物的反應及處置，下列何者最適當？",9,{"webId":40,"stem":41,"number":42,"year":43,"session":31},"nurse-112-1-psychiatric-community-025","有關強迫性人格障礙症的臨床表現，下列敘述何者最適切？",25,112,{"webId":45,"stem":46,"number":47,"year":43,"session":10},"nurse-112-2-psychiatric-community-039","王先生，診斷為思覺失調症，使用抗精神病藥物 clozapine（Clozaril ® ），用藥前體重、血壓及空腹血糖在正常範圍，第 8 週時體重上升 10%，第 12 週時血糖驗出 130 mg\u002FdL，目前精神症狀及認知功能明顯改善，且已回到職場。下列敘述何者最適切？",39,{"webId":49,"stem":50,"number":51,"year":52,"session":53},"nurse-113-3-psychiatric-community-007","團體治療中，成員 A 抱怨女兒天天工作忙常見不到人，表示自己辛苦撫養小孩很不值得。成員 B 表示自己女兒也很忙，建議父母要學習自己照顧自己，以上的團體互動最符合何項團體療效因素？",7,113,3,{"webId":55,"stem":56,"number":57,"year":58,"session":31},"nurse-115-1-psychiatric-community-011","謝先生，診斷為雙相情緒障礙症，因要求外出抽菸未獲同意，在病室內摔東西。下列何項護理措施最適宜？",11,115,{"webId":60,"stem":61,"number":42,"year":62,"session":10},"nurse-106-2-psychiatric-community-025","初次住院的王先生表示：「我一直聽到有個女生的聲音在我的耳邊罵我，我真的好痛苦！」護理師的回應，下列何者最適當？",106,"2026-09-04",1788510739785]