[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-112-2-psychiatric-community-026":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-026","nurse-112-2-psychiatric-community-026",112,2,26,"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？",{"A":14,"B":15,"C":16,"D":17},"慮病症","畏懼症","恐慌症","廣泛性焦慮症","D",null,[],"本題考點是廣泛性焦慮症（generalized anxiety disorder, GAD）的臨床表現。依診斷準則，GAD 為至少六個月對多件生活事件（工作、家庭）持續且難以控制的過度擔憂，並伴隨坐立不安、肌肉緊繃、易疲勞、難專注、易怒、睡眠障礙等症狀，王女士半年來的情況完全符合，故選 D。A 慮病症是過度擔心自己罹患重病，聚焦於身體健康而非廣泛生活事件。B 畏懼症是對特定物件或情境的不合理恐懼並逃避，屬情境性。C 恐慌症為突發陣發性的強烈害怕，數分鐘達高峰，與王女士的持續性、瀰漫性擔憂不同。考點在於辨識「病程長、擔憂對象多而瀰漫、伴隨肌肉緊繃與睡眠障礙」即廣泛性焦慮症。","GAD 的擔憂是「自由浮動」的，對象不固定，且擔心程度與實際事件不成比例。與恐慌症鑑別靠時間型態：GAD 慢性瀰漫、恐慌急性陣發。生理症狀多來自長期慢性的肌肉緊張與交感激發，故常見肩頸僵硬、疲勞與入睡困難。記憶口訣：GAD＝六個月、無所不擔心、緊繃睡不好。可延伸連結血清素／正腎上腺素失調、SSRI／SNRI 為第一線藥物，以及放鬆訓練與認知行為治療。",[24,27,29,31],{"term":25,"count":26},"廣泛性焦慮症 GAD",1,{"term":28,"count":26},"過度擔憂",{"term":30,"count":26},"肌肉緊繃",{"term":32,"count":26},"六個月病程",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"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":39,"stem":40,"number":41,"year":9,"session":42},"nurse-112-3-psychiatric-community-043","婦女更年期生理變化之敘述，下列何者錯誤？",43,3,{"webId":44,"stem":45,"number":46,"year":47,"session":10},"nurse-113-2-psychiatric-community-037","社區護理師欲進行校園肺結核護理指導，下列何項主題較符合第一段預防的概念？",37,113,{"webId":49,"stem":50,"number":51,"year":52,"session":42},"nurse-114-3-psychiatric-community-035","衛生福利部國民健康署邀請知名運動員擔任拒菸大使，呼籲「我拒菸，我驕傲」，是運用健康信念模式（Health Belief Model）的何種要素？",35,114,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-106-2-psychiatric-community-009","有關環境治療的敘述，下列何項正確？①躁症病人應減低過度的環境刺激 ②監視憂鬱症病人防止自殺行為 ③提供思覺失調症病人新的認同對象 ④行為失控時即刻使用身體約束及保護隔離",9,106,{"webId":59,"stem":60,"number":41,"year":61,"session":10},"nurse-107-2-psychiatric-community-043","應用流行病學方法判定因果關係時，那一項是必要條件，否則無法成立？",107,"2026-09-04",1788510748895]