[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-112-2-psychiatric-community-031":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-031","nurse-112-2-psychiatric-community-031",112,2,31,"在某幼稚園就讀大班的林小弟，平時表現良好，只是有些好動，最近眼睛眨個不停，嘴角不自主抽動，甚至搖頭，頸部晃個不停，樣子十分難看，同學都開始嘲笑他。上述表現最可能為下列何者？",{"A":14,"B":15,"C":16,"D":17},"智能不足（Intellectural Disabilities）","雙相情緒障礙症（Bipolar Disorder）","注意力不足／過動症（Attention-Deficit\u002FHyperactivity Disorders, ADHD）","妥瑞氏症（Tourette’s Disorder）","D",null,[],"本題考點是妥瑞氏症（Tourette's disorder）的臨床辨識。依診斷準則，妥瑞氏症須在 18 歲前發病，同時出現多種運動型抽動（如眨眼、嘴角抽動、搖頭、頸部晃動）與至少一種發聲型抽動，且病程超過一年。林小弟眨眼、嘴角不自主抽動、搖頭與頸部晃動屬典型多重運動型抽動，故選 D。A 智能不足以智力與適應功能全面缺損為主，非不自主抽動。B 雙相情緒障礙症以躁與鬱交替的情緒變化為核心，與抽動無關。C 注意力不足／過動症以注意力不集中、過動與衝動為主，雖題幹提及好動，但主要症狀是不自主抽動，指向妥瑞氏症。考點在於辨識「兒童期出現多部位不自主運動抽動」即妥瑞氏症。","抽動症與基底核多巴胺功能異常有關，特徵是可短暫抑制但終須釋放的半自主動作，常在壓力下加劇、專注時減輕。ADHD 與強迫症是妥瑞氏症常見的共病，臨床需一併評估。題中「好動」可能為共病 ADHD 的線索，但診斷主軸仍是抽動。記憶口訣：多部位動＋出聲、一年以上、兒童期＝妥瑞。可延伸連結基底核迴路、行為療法（習慣反向訓練）與共病評估。",[24,27,30,32],{"term":25,"count":26},"神經發展障礙",3,{"term":28,"count":29},"妥瑞氏症 Tourette's disorder",1,{"term":31,"count":29},"運動型抽動",{"term":33,"count":29},"發聲型抽動",[35,39,43,48,53,58],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-112-2-psychiatric-community-032","關於譫妄及失智症，下列敘述何者最適切？",32,{"webId":40,"stem":41,"number":42,"year":9,"session":26},"nurse-112-3-psychiatric-community-048","王女士，76 歲，被診斷為糖尿病，空腹血糖值為 250 mg\u002FdL，主訴定期回診接受治療。社區護理師對於王女士之照護措施，下列何項最不適當？",48,{"webId":44,"stem":45,"number":46,"year":47,"session":10},"nurse-113-2-psychiatric-community-042","全民健康保險中，為避免被保險人醫療資源不當使用，所導致的道德危害（moral hazard），採用下列何項措施？",42,113,{"webId":49,"stem":50,"number":51,"year":52,"session":26},"nurse-114-3-psychiatric-community-040","蘇小弟的爸媽皆在學校任教，爸爸因照顧年邁雙親留職停薪，由剛升職為校長的媽媽支撐全家開銷，媽媽因此成為家中事務的主要決策者，此家庭的權力關係最符合下列何種類型？",40,114,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-106-2-psychiatric-community-014","護理師照顧吳太太時有強烈的敵意，與之互動時顯不耐煩，覺得對方很像自己的婆婆，而難以和吳太太建立護病關係，有關這種關係之敘述，下列何者正確？",14,106,{"webId":59,"stem":60,"number":42,"year":61,"session":10},"nurse-107-2-psychiatric-community-048","有關我國職業安全衛生的敘述，下列何者錯誤？",107,"2026-09-04",1788510748928]