[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-112-1-psychiatric-community-021":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":35,"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-112-1-精神科與社區衛生護理學-021","nurse-112-1-psychiatric-community-021",112,1,21,"趙小姐診斷為思覺失調症，以下針對思覺失調症的敘述，何者正確？",{"A":14,"B":15,"C":16,"D":17},"此困擾是起因於物質使用或身體病況的生理效應","疾病症狀持續至少 4 個月，即可診斷為思覺失調症","1 個月內至少出現妄想、幻覺或胡言亂語症狀","思覺失調症的診斷主要依據負性症狀為主軸","C",null,[],"本題考點在於 DSM-5 思覺失調症的診斷準則。依準則,活躍期須在 1 個月內至少出現妄想、幻覺或胡言亂語等症狀,故 C 正確。A 錯在若症狀為物質使用或身體病況的直接生理效應,則排除思覺失調症診斷,不能歸因於此。B 錯在整體病程干擾須持續至少 6 個月(含至少 1 個月活躍期),4 個月不足且屬「思覺失調症樣疾患」範圍。D 錯在診斷主軸為正性症狀(妄想、幻覺、胡言亂語),非以負性症狀為主。","與前題呼應:活躍期≥1 個月、總病程≥6 個月、正性症狀打頭、排除物質與身體因素。1–6 個月者診斷為 schizophreniform(思覺失調症樣),\u003C1 個月為短暫精神病症。時間分界是本組題反覆測試的重點。",[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},"活躍期一個月",[36,40,44,48,53,58],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-112-1-psychiatric-community-022","有關焦慮病人的護理評估，下列何者適宜？①焦慮是一種精神疾患，不須注重生理層面評估 ②護理人員應從病人語言及非語言訊息評估情緒問題 ③評估病人認知層面，有助於了解焦慮的程度 ④評估病人靈性層面，有助於了解病人因應行為的來源",22,{"webId":41,"stem":42,"number":43,"year":9,"session":32},"nurse-112-2-psychiatric-community-038","社區精神復健中心的服務對象之收案條件，下列何者正確？",38,{"webId":45,"stem":46,"number":32,"year":47,"session":10},"nurse-113-1-psychiatric-community-002","有關多巴胺（dopamine）傳導路徑理論與思覺失調症的關係，下列敘述何者最適切？",113,{"webId":49,"stem":50,"number":51,"year":52,"session":10},"nurse-114-1-psychiatric-community-050","有關氣喘之護理指導，下列何項最不適當？",50,114,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-106-1-psychiatric-community-004","下列有關精神障礙病人的權利，何者正確？",4,106,{"webId":59,"stem":60,"number":43,"year":61,"session":10},"nurse-107-1-psychiatric-community-038","林小姐是高功能自閉症個案，近日因為找工作受挫，感到無助與無望並有自殺意念，家人要求住院治療，但是病人拒絕住院，當護理師在面對自殺議題時，所應抱持的態度，下列何項敘述最適切？",107,"2026-09-04",1788510743314]