[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-111-2-psychiatric-community-022":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"lastmod":62},"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-111-2-精神科與社區衛生護理學-022","nurse-111-2-psychiatric-community-022",111,2,22,"有關創傷後壓力症（posttraumatic stress disorder）的敘述，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"對災難事件不斷反覆的經驗再現（flashback）","持續逃避與此創傷有關的刺激","症狀持續超過 1 個月","常使用抵消的防衛機轉","D",null,[],"本題考點是創傷後壓力症(PTSD)的臨床特徵與防衛機轉,選「錯誤」敘述。依精神分析防衛機轉理論,PTSD 病人常用的是壓抑(repression)、否認(denial)、退化(regression)等機轉;「抵消(undoing)」是以象徵性行為消除先前行為或想法帶來的焦慮,典型見於強迫症,並非 PTSD 常用機轉,故 D 錯誤而為本題答案。A 正確:創傷事件反覆經驗再現(flashback)是 PTSD 的侵入性症狀核心。B 正確:持續逃避與創傷有關的刺激(人、地、話題)屬逃避症狀群。C 正確:依 DSM-5,PTSD 症狀須持續超過 1 個月,未滿 1 個月者屬急性壓力症。","PTSD 四大症狀群記憶:侵入性症狀(再現、惡夢)、逃避、認知與情緒負向改變、警醒度與反應性改變(易怒、過度驚嚇)。病程切點:創傷後 3 天至 1 個月為急性壓力症,超過 1 個月才診斷 PTSD。防衛機轉配對口訣:「強迫用抵消與反向、畏懼用替代、PTSD 用壓抑否認」——抵消的經典例子是行禮如儀的重複清洗、儀式行為,正是強迫症的樣貌,兩病常互為錯項。",[24,27,29,31],{"term":25,"count":26},"DSM-5 PTSD 診斷準則",1,{"term":28,"count":26},"防衛機轉抵消",{"term":30,"count":26},"侵入性症狀 flashback",{"term":32,"count":26},"急性壓力症與 PTSD 病程區分",[34,38,43,47,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-111-2-psychiatric-community-023","強迫症（obsessive-compulsive disorder）的主要臨床症狀，下列敘述何者正確？",23,{"webId":39,"stem":40,"number":41,"year":42,"session":26},"nurse-112-1-psychiatric-community-039","有關避免慢性精神病病人機構化的護理措施，下列何者最適宜？",39,112,{"webId":44,"stem":45,"number":46,"year":42,"session":10},"nurse-112-2-psychiatric-community-053","有關社區評估中重要人物訪談的敘述，下列何項最適當？",53,{"webId":48,"stem":49,"number":50,"year":51,"session":52},"nurse-113-3-psychiatric-community-021","陳女士，診斷為阿茲海默症，經住院治療後準備出院。家屬顯得焦慮，不知道如何照顧陳女士，頻頻詢問其他病友家屬的照護意見。下列護理措施何者最適切？",21,113,3,{"webId":54,"stem":55,"number":56,"year":57,"session":26},"nurse-115-1-psychiatric-community-025","有關慢性精神病人的特性與照顧原則，下列說明何者正確？①病人正性症狀較多，且症狀嚴重   ② 醫療照顧應減少機構化之負面影響   ③居住環境應重視安全、舒適和定向感的刺激   ④藉由病人的生活規劃，有助減輕負性症狀",25,115,{"webId":59,"stem":60,"number":41,"year":61,"session":10},"nurse-106-2-psychiatric-community-039","中風臥床多年的周爺爺，兩週前在睡眠中與世長辭，周奶奶正處於悲傷急性期的情境中，在這個階段，照護喪偶的周奶奶，下列那一事項並不急於在此時進行？",106,"2026-09-04",1788510739912]