[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-112-1-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-112-1-精神科與社區衛生護理學-018","nurse-112-1-psychiatric-community-018",112,1,18,"有關思覺失調症病人之負性精神症狀，下列何者最適切？",{"A":14,"B":15,"C":16,"D":17},"幻覺","動作遲緩","妄想","怪異行為","B",null,[],"本題考點在於思覺失調症正性與負性症狀的區辨。負性症狀指正常功能的「減少或缺失」，如情感平淡、動機缺乏、社交退縮與動作遲緩，故 B 最適切。A 幻覺、C 妄想、D 怪異行為皆屬「正性症狀」，是正常功能之外「多出來」的異常表現。動作遲緩反映精神運動的減退，屬功能缺損面向，符合負性症狀定義。","正性=多出來(幻覺、妄想、胡言亂語、怪異行為)、負性=少掉了(情感平淡 flat affect、無動機 avolition、社交退縮、語言貧乏 alogia、快感缺乏)。記憶口訣「正加負減」。負性症狀對抗精神病藥反應較差,是預後與復健重點。",[24,27,30,33],{"term":25,"count":26},"思覺失調症",17,{"term":28,"count":29},"正性症狀",6,{"term":31,"count":32},"負性症狀",5,{"term":34,"count":10},"精神運動遲緩",[36,40,45,50,55,59],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-112-1-psychiatric-community-019","林先生躁症發作（Manic Episode）住急性病房，因為發燒被安置於隔離室觀察，林先生頻頻要求出隔離室，下列那些護理處置最適宜？①設限：你現在發燒要觀察，暫時不能出隔離室 ②拖延：不予理會、不回應 ③給予部分接受：我幫你量體溫，依據體溫狀況再決定 ④要求頻率太高，改為約束，避免出隔離室",19,{"webId":41,"stem":42,"number":43,"year":9,"session":44},"nurse-112-2-psychiatric-community-035","陳女士，有自殺病史，近一個月終日以淚洗面，並向家人表示不想活在世間，而被家人送至精神科接受住院治療。此時，針對陳女士的護理措施最優先的是：",35,2,{"webId":46,"stem":47,"number":48,"year":9,"session":49},"nurse-112-3-psychiatric-community-049","張先生近來被子女發現會忘記一些日常事情，醫師診斷為輕型認知障礙症（Mild Neurocognitive Disorder），家人不放心他白天一人在家，共照個管師與個案和家人商議後，轉介他至其居住所在的巷弄據點，於是張先生每週有三個早上會自己騎車至據點活動與吃午餐。這樣的措施是屬於：",49,3,{"webId":51,"stem":52,"number":53,"year":54,"session":10},"nurse-114-1-psychiatric-community-047","85歲方奶奶獨居，巴氏量表評估為65分，目前無法自行洗澡和備餐，需有社區志工陪同就醫。若要申請長期照顧服務項目，何項最合適？",47,114,{"webId":56,"stem":57,"number":10,"year":58,"session":10},"nurse-106-1-psychiatric-community-001","精神衛生法中規定經專科醫師診斷或鑑定屬嚴重病人者，應置保護人 1 人，專科醫師並應開具診斷證明書交付保護人。保護人應考量嚴重病人利益。條文中的保護人可為下列何人？①監護人 ②同居人 ③配偶 ④父母 ⑤家屬 ⑥心理輔導專家 ⑦法定代理人",106,{"webId":60,"stem":61,"number":43,"year":62,"session":10},"nurse-107-1-psychiatric-community-035","護理師於精神復健病房擔任照護工作，其照顧慢性病患的原則，下列何者正確？",107,"2026-09-04",1788510743296]