[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-112-1-psychiatric-community-010":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-112-1-精神科與社區衛生護理學-010","nurse-112-1-psychiatric-community-010",112,1,10,"依據 DSM-5 診斷準則，有關思覺失調症（Schizophrenia）診斷標準的描述，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"至少有一項必須為負性精神症狀","精神症狀活躍至少持續出現 3 個月以上","社會功能顯著比發病前降低","物質濫用是造成疾病的主要因素","C",null,[],"本題考點在於 DSM-5 思覺失調症的診斷準則。依 DSM-5，診斷須自發病後社會或職業功能顯著低於病前水準，故 C 正確。A 錯在核心症狀須至少一項為妄想、幻覺或胡言亂語等「正性」症狀，並非必須為負性症狀。B 錯在活躍期症狀須持續至少 1 個月，整體病程干擾須至少 6 個月，非 3 個月。D 錯在若症狀是物質或身體病況直接生理效應所致，則排除思覺失調症診斷，物質濫用並非其致病主因。","DSM-5 思覺失調準則要點:A 準則兩項以上症狀(至少一項為妄想\u002F幻覺\u002F胡言亂語)、B 功能下降、C 病程≥6 個月(含≥1 個月活躍期)、D\u002FE 排除情感性與物質因素。記憶「六月病程、一月活躍、功能退步、正性打頭」四步驟。",[24,27,30,33],{"term":25,"count":26},"DSM-5",13,{"term":28,"count":29},"正性症狀",6,{"term":31,"count":32},"思覺失調症診斷準則",2,{"term":34,"count":10},"社會功能退化",[36,40,44,49,54,59],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-112-1-psychiatric-community-011","有關認知行為治療步驟的敘述，下列何者最不適宜？",11,{"webId":41,"stem":42,"number":43,"year":9,"session":32},"nurse-112-2-psychiatric-community-027","有關酒精使用障礙症，下列敘述何者錯誤？",27,{"webId":45,"stem":46,"number":47,"year":9,"session":48},"nurse-112-3-psychiatric-community-041","下列何種家庭評估工具，最適合用來評估獨居老人的外在連結和資源？",41,3,{"webId":50,"stem":51,"number":52,"year":53,"session":10},"nurse-114-1-psychiatric-community-039","有關紫外線防護之護理指導，下列何者最不適當？",39,114,{"webId":55,"stem":56,"number":57,"year":58,"session":32},"nurse-115-2-psychiatric-community-043","護理師對於健康的獨居老人建議使用的社區資源，下列何者最不適當？",43,115,{"webId":60,"stem":61,"number":43,"year":62,"session":10},"nurse-107-1-psychiatric-community-027","承上題，古先生問題的心理復健，請問下列說明何者最適切？",107,"2026-09-04",1788510743224]