[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-113-1-psychiatric-community-009":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":32,"lastmod":63},"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-113-1-精神科與社區衛生護理學-009","nurse-113-1-psychiatric-community-009",113,1,9,"下列何項描述符合鬱症發作（major depressive episode）的診斷？",{"A":14,"B":15,"C":16,"D":17},"主觀感受想法洶湧不止","憂鬱症狀須持續二週才能診斷","與是否造成社交、職業或其他功能缺損無關","可能失眠，不會嗜睡","B",null,[],"本題考點在於 DSM-5 鬱症發作的診斷準則。依 DSM-5,鬱症發作須在同一個兩週期間內,出現五項以上症狀(且至少含憂鬱情緒或失去興趣\u002F愉悅感之一),症狀持續至少二週,故 B 正確。A 錯誤,「想法洶湧不止」(意念飛躍、思緒奔騰)是躁期的典型症狀,鬱症反而常見思考遲緩;C 錯誤,DSM-5 明訂症狀須造成臨床上顯著苦惱或社交、職業等功能減損,功能缺損是診斷要件而非無關;D 錯誤,鬱症的睡眠障礙可為失眠「或」嗜睡(hypersomnia),兩者皆列於準則內,並非只會失眠。","DSM-5 鬱症發作九大症狀可用「一情二趣三食四眠五動六疲七罪八思九死」記:憂鬱情緒、興趣喪失、食慾\u002F體重改變、失眠或嗜睡、精神運動性激動或遲滯、疲累、無價值感\u002F罪惡感、專注力下降、反覆死亡意念。診斷門檻:≥5 項、≥2 週、幾乎每天、且必含前兩項之一,並造成顯著功能損害,且不能歸因於物質或其他身體病況。對比考點:躁症發作準則為情緒高昂\u002F易怒持續≥1 週(輕躁≥4 天),症狀如意念飛躍、睡眠需求減少——與 A 選項的「想法洶湧」對應,是命題者常用的躁鬱交叉陷阱。",[24,26,28,30],{"term":25,"count":10},"DSM-5 鬱症發作診斷準則",{"term":27,"count":10},"二週症狀期",{"term":29,"count":10},"功能缺損要件",{"term":31,"count":10},"躁期與鬱期症狀鑑別",[33,37,42,47,53,58],{"webId":34,"stem":35,"number":36,"year":9,"session":10},"nurse-113-1-psychiatric-community-010","有關思覺失調症病人出現生活懶散、缺乏動機，下列何項護理措施最不適切？",10,{"webId":38,"stem":39,"number":40,"year":9,"session":41},"nurse-113-3-psychiatric-community-006","有關認知行為治療的特徵，下列敘述何者最適切？",6,3,{"webId":43,"stem":44,"number":45,"year":46,"session":10},"nurse-114-1-psychiatric-community-050","有關氣喘之護理指導，下列何項最不適當？",50,114,{"webId":48,"stem":49,"number":50,"year":51,"session":52},"nurse-115-2-psychiatric-community-048","曾先生為失智症個案，可自主活動，主要照顧者為媳婦，曾接受過照顧服務員訓練，照顧個案達 3 年，家人希望由自己人照顧，但媳婦身心疲憊，期待可以休息旅遊；也表示獨自照顧的孤單感受。下列那些服務項目最適合提供給照顧者？①轉介安養機構資訊 ②指導照護技巧 ③喘息服務資訊 ④情緒支持",48,115,2,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-107-1-psychiatric-community-042","社區評估時收集社區民眾的教育程度及其婚姻狀況等資料，是安德森（Anderson）健康評估模式中的那一向度？",42,107,{"webId":59,"stem":60,"number":61,"year":62,"session":52},"nurse-108-2-psychiatric-community-076","國小入學新生，其健康檢查必要檢查項目為：①尿液檢查 ②立體感篩檢 ③耳鼻喉科檢查 ④蟯蟲檢查 ⑤血液檢查",76,108,"2026-09-04",1788510751134]