[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-111-2-psychiatric-community-024":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":10},"nurse-111-2-精神科與社區衛生護理學-024","nurse-111-2-psychiatric-community-024",111,2,24,"下列有關急性壓力症（acute stress disorder）的敘述，何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"創傷後次日可確定診斷","暴露於真正或具威脅性的死亡、或重傷","會出現逃避、解離、警覺等症狀","會引起社交、職業等功能減損","A",null,[],"本題考點是急性壓力症(acute stress disorder)的 DSM-5 診斷準則,選「錯誤」敘述。依 DSM-5,急性壓力症的症狀須持續 3 天至 1 個月,亦即創傷事件後至少滿 3 天才能確立診斷,「創傷後次日即可確定診斷」不符病程準則,故 A 錯誤而為本題答案。B 正確:準則 A 即暴露於真正或具威脅性的死亡、重傷或性暴力。C 正確:症狀群涵蓋侵入性、負向情緒、解離(如恍惚、去現實感)、逃避與警醒度改變。D 正確:診斷須造成臨床上顯著苦惱或社交、職業等重要功能減損。","壓力相關疾患時間軸總整理:創傷後 0~3 天為正常急性反應,尚不下診斷;3 天~1 個月為急性壓力症;超過 1 個月為 PTSD。急性壓力症與 PTSD 症狀內容高度重疊,最大差異在「病程長短」與急性壓力症較強調解離症狀。口訣:「三天起跳、滿月換名」——不滿 3 天不診斷,滿 1 個月改診斷 PTSD。",[24,26,29,31],{"term":25,"count":10},"解離症狀",{"term":27,"count":28},"DSM-5 急性壓力症診斷準則",1,{"term":30,"count":28},"病程 3 天至 1 個月",{"term":32,"count":28},"創傷暴露準則",[34,38,43,47,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-111-2-psychiatric-community-025","有關焦慮的敘述，下列何者最適當？",25,{"webId":39,"stem":40,"number":41,"year":42,"session":28},"nurse-112-1-psychiatric-community-041","有關現行全民健康保險之敘述，下列何者正確？①多元保險人制度 ②實質納保率 99%以上 ③強制性的社會保險 ④公辦公營模式 ⑤被保險對象分為十大類",41,112,{"webId":44,"stem":45,"number":46,"year":42,"session":10},"nurse-112-2-psychiatric-community-055","社區護理師執行均衡飲食計畫後，評價使用的人力、物力及經費與成果的關係，是屬於何種評價？",55,{"webId":48,"stem":49,"number":50,"year":51,"session":52},"nurse-113-3-psychiatric-community-023","對居住於精神護理之家的失智症住民照護原則，下列何者正確？①維持病房生活作息的常規化 ②儘可能維持住民的最大生活功能 ③安排其與同輩進行團體活動 ④經常改變病房佈置以強化定向感訓練 ⑤ 安排每天由不同人員照顧，以強化記憶功能",23,113,3,{"webId":54,"stem":55,"number":56,"year":57,"session":28},"nurse-115-1-psychiatric-community-027","王同學，19歲，意識清楚，最近被診斷為肺癌末期，他希望預立「不施行心肺復甦術」意願書，下列敘述何者正確？①所簽署的意願書具法律效力           ②需有具完全行為能力者二人以上在場見證          ③ 執行意願人維生醫療之機構所屬人員可當見證人           ④意願書簽署後可以隨時撤回",27,115,{"webId":59,"stem":60,"number":41,"year":61,"session":10},"nurse-106-2-psychiatric-community-041","公民可透過下列何種團體力量對關鍵重要人物（stakeholders）進行遊說與監督的工作？",106,"2026-09-04",1788510739939]