[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-112-3-psychiatric-community-017":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"lastmod":64},"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":10},"nurse-112-3-精神科與社區衛生護理學-017","nurse-112-3-psychiatric-community-017",112,3,17,"林同學，20 歲，上台報告時總是會極度恐懼或焦慮，也無法在公共場所用餐，平時會儘量避免與他人交談或互動。林同學最有可能的問題是下列何者？",{"A":14,"B":15,"C":16,"D":17},"社交畏懼症（Social Phobia）","轉化症（Conversion Disorder）","選擇性不語症（Selective Mutism）","廣泛性焦慮症（Generalized Anxiety Disorder）","A",null,[],"本題考點在於社交畏懼症的核心特徵辨識。依 DSM 診斷概念,社交畏懼症(社交焦慮症)的特徵是對社交或公開表現情境(如上台報告、公共場所用餐、與人互動)出現顯著且持續的恐懼或焦慮,並常以逃避行為因應,故林同學症狀最符合 A。B 轉化症是心理衝突轉為神經學症狀(如無法解釋的癱瘓、失明),與社交焦慮無關。C 選擇性不語症指在特定社交場合(如學校)持續無法說話,但在其他情境正常,好發於兒童,題幹並非「特定場合不語」。D 廣泛性焦慮症是對多種生活事件的過度且難控制的擔憂,非侷限於社交表現情境。考點在於區辨焦慮症各亞型。","社交畏懼症的關鍵是「害怕被他人評價或出糗」,常伴臉紅、發抖、心悸等自律神經症狀,並以逃避維持,形成惡性循環。治療以認知行為治療(暴露法、認知重建)為主,合併 SSRI。對比記憶:社交畏懼=怕特定社交情境;廣泛性焦慮=對「什麼都擔心」;恐慌症=無預警的急性發作。",[24,26,28,31],{"term":25,"count":10},"逃避行為",{"term":27,"count":10},"DSM 診斷準則",{"term":29,"count":30},"社交畏懼症",1,{"term":32,"count":30},"焦慮症鑑別診斷",[34,38,44,49,54,59],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-112-3-psychiatric-community-018","葉先生，36 歲，診斷恐慌症，發作時感到喘不過氣、胸痛、四肢麻痺，在急診時大喊：「我覺得快死了！」，下列護理師的處置，何者最適宜？",18,{"webId":39,"stem":40,"number":41,"year":42,"session":43},"nurse-113-2-psychiatric-community-014","下列何者最可能為海洛因急性中毒的症狀？",14,113,2,{"webId":45,"stem":46,"number":47,"year":48,"session":30},"nurse-114-1-psychiatric-community-008","有關代幣制度的敘述，下列何項不適宜？",8,114,{"webId":50,"stem":51,"number":52,"year":53,"session":43},"nurse-115-2-psychiatric-community-006","電氣痙攣療法（electroconvulsive therapy, ECT）的臨床適應症，下列選項何者較適當？①人格障礙症 ②對藥物治療無效的躁症 ③嚴重憂鬱症且自殺意念強烈 ④思覺失調症合併僵直症",6,115,{"webId":55,"stem":56,"number":57,"year":58,"session":43},"nurse-106-2-psychiatric-community-080","在關懷據點開設健康瑜珈班，過程中除了需考慮參加的民眾，還可能需要協調開班時間與地點等問題。以上若依據比提（Beattie）的健康促進模式，過程中較適合使用何種策略？",80,106,{"webId":60,"stem":61,"number":62,"year":63,"session":43},"nurse-108-2-psychiatric-community-034","社區心理衛生的工作實務中，下列何者屬於次級預防工作？",34,108,"2026-09-04",1788510745854]