[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-112-2-psychiatric-community-006":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-112-2-精神科與社區衛生護理學-006","nurse-112-2-psychiatric-community-006",112,2,6,"陳女士，35 歲，診斷雙相情緒障礙症，護理師在詢問家族病史中得知此次是陳女士首次發病，她的母親也是雙相情緒障礙症的病人，依病因模式，最符合以下何項病因因素？",{"A":14,"B":15,"C":16,"D":17},"潛在因素（predisposing factor）","促發因素（precipitating factor）","續存因素（perpetuating factor）","預後因素（prognostic factor）","A",null,[],"本題考點是精神疾病病因模式中的因素分類。潛在因素(predisposing factor)指使個體較易罹病的先天或早期形成的體質背景,如遺傳與家族史;陳女士母親也患雙相情緒障礙症,屬遺傳體質層面,故選 A。促發因素(precipitating factor)是誘發此次發病的近期壓力事件,B 不符題幹著重的家族史。續存因素(perpetuating factor)是使疾病持續或惡化的因素,C 不符。預後因素(prognostic factor)是影響病程結果好壞的因素,D 不符。","病因模式常用 4P 架構分析:Predisposing(易感體質,如基因、家族史、早年創傷)、Precipitating(近期誘因,如失業、失落事件)、Perpetuating(維持因素,如缺乏支持、不遵醫囑)、Protective(保護因素,如社會支持、病識感)。雙相情緒障礙症的遺傳負荷高,一等親罹病是重要的易感指標,故家族史對應 predisposing。這個架構在擬定個別化照護計畫時,能系統性掌握個案的風險與資源。",[24,27,29,31],{"term":25,"count":26},"潛在因素 predisposing factor",1,{"term":28,"count":26},"促發因素 precipitating factor",{"term":30,"count":26},"病因 4P 模式",{"term":32,"count":26},"雙相情緒障礙症遺傳",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-112-2-psychiatric-community-007","吳先生，40 歲，診斷情感思覺失調症（Schizoaffective Disorder）。護理師問他喜歡從事什麼休閒活動，吳先生回答說：「我喜歡游泳，勇於認錯，知錯能改，善莫大焉，醃肉好吃，但太鹹，我不能吃，因為我有高血壓。」吳先生有以下那一項症狀？",7,{"webId":39,"stem":40,"number":41,"year":9,"session":42},"nurse-112-3-psychiatric-community-023","社區心理衛生護理人員會主動關心社區中需要健康服務的民眾，利用工具與會談技巧，篩檢社區中的高危險群，以達早期發現的目的。此護理人員執行角色最符合下列何者？",23,3,{"webId":44,"stem":45,"number":46,"year":47,"session":10},"nurse-113-2-psychiatric-community-017","林小姐，為重大火車出軌事件的倖存者，診斷為創傷後壓力症（posttraumatic stress disorder），下列敘述何者最不適切？",17,113,{"webId":49,"stem":50,"number":51,"year":52,"session":42},"nurse-114-3-psychiatric-community-015","小宣，18 歲，家中發生大火，導致房屋全毀，腿部燒傷約 10%，有強烈的焦慮及憂鬱反應，目前首要的災難危機處置目標，下列何者最適當？",15,114,{"webId":54,"stem":55,"number":56,"year":57,"session":26},"nurse-106-1-psychiatric-community-069","社區衛生護理師在遊民庇護所及貧民住宅區促成醫療診所的設置，是屬於何種個案管理策略的應用？",69,106,{"webId":59,"stem":60,"number":41,"year":61,"session":10},"nurse-107-2-psychiatric-community-023","武先生，30 歲，診斷為第一型雙相情緒障礙症（昔稱第一型雙極性疾患），目前為躁症發作。護理師給藥時，武先生對護理師說：「我討厭吃藥，吃藥有副作用，昨晚病友打鼾很大聲，很吵，我好想抽菸，抽菸很快樂，醫師何時會來看我，上午或下午…」，武先生的症狀最符合下列何者？",107,"2026-09-04",1788510748730]