[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-112-2-psychiatric-community-025":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"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-025","nurse-112-2-psychiatric-community-025",112,2,25,"陳先生，近三個月多次忽然間感到胸痛、心悸、發抖、透不過氣，失去現實感等症狀，可在幾分鐘後緩解，經各項身體檢查顯示並無生理疾病，但之後陳先生仍持續擔心症狀會再度發作並死亡。下列敘述何者為陳先生最可能的診斷？",{"A":14,"B":15,"C":16,"D":17},"創傷後壓力症","恐慌症","廣泛性焦慮症","社交畏懼症","B",null,[],"本題考點是恐慌症（panic disorder）的診斷特徵。依 DSM 診斷準則，恐慌發作為突發且在數分鐘內達到高峰的強烈害怕，伴隨心悸、胸痛、發抖、呼吸困難、失去現實感等自主神經症狀，且反覆發作後持續擔心再發作或擔心因此死亡（預期性焦慮），與陳先生情境完全吻合，故選 B。A 創傷後壓力症須有明確創傷事件並出現再經歷、逃避、警覺性增高，題幹未提及創傷。C 廣泛性焦慮症為長期、瀰漫性的過度擔憂，非陣發性急性發作。D 社交畏懼症是害怕被他人注視、評價的情境性焦慮，與本題無誘發社交情境的描述不符。考點在於辨識「陣發性、數分鐘達高峰、身體檢查正常但持續怕再發作」即恐慌症。","恐慌發作核心是交感神經過度激發，常被誤送急診疑為心肌梗塞，但心電圖與心肌酵素正常。診斷關鍵在於反覆非預期發作＋至少一個月持續擔心再發作或改變行為。與廣泛性焦慮症的鑑別在於「時間型態」：恐慌是急性陣發、來得快去得快；廣泛性焦慮是慢性持續。記憶口訣：恐慌＝突發高峰十分鐘、怕死怕再犯。可延伸連結預期性焦慮、逃避行為與續發的懼曠症。",[24,27,29,32],{"term":25,"count":26},"預期性焦慮",3,{"term":28,"count":26},"DSM 診斷準則",{"term":30,"count":31},"恐慌症 panic disorder",1,{"term":33,"count":31},"恐慌發作",[35,39,43,48,53,58],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-112-2-psychiatric-community-026","王女士，36 歲，半年來經常感到坐立不安、肌肉緊繃、容易疲勞，入睡困難，總是過度擔心工作或家庭會發生問題。王女士最有可能的問題，為下列何者？",26,{"webId":40,"stem":41,"number":42,"year":9,"session":26},"nurse-112-3-psychiatric-community-042","有關我國母乳哺餵政策之敘述，下列何者最不適當？",42,{"webId":44,"stem":45,"number":46,"year":47,"session":10},"nurse-113-2-psychiatric-community-036","擬定老人肌少症護理指導計畫行為目標，下列何者最適當？",36,113,{"webId":49,"stem":50,"number":51,"year":52,"session":26},"nurse-114-3-psychiatric-community-034","護理師讓學校教職員及學生瞭解感染 COVID-19 後，對健康可能造成的衝擊及預後，此策略主要為增強健康信念模式之何項認知？",34,114,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-106-2-psychiatric-community-008","根據溝通分析理論（Transactional Analysis），護理師告訴病人：「參加活動可以幫助你增加社交技巧的能力。」病人回應表示：「我好累喔，拜託讓我休息嘛。」這是屬於何種溝通型態？",8,106,{"webId":59,"stem":60,"number":42,"year":61,"session":10},"nurse-107-2-psychiatric-community-042","有關病例對照研究法（case-control study）與世代研究（cohort study）的比較，下列何者錯誤？",107,"2026-09-04",1788510748891]