[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-113-1-psychiatric-community-013":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":32,"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":10},"nurse-113-1-精神科與社區衛生護理學-013","nurse-113-1-psychiatric-community-013",113,1,13,"根據佛洛伊德學說，人格障礙病人在肛門期受到過度的管教約束，影響心性發展。以下何者為其日後的行為模式？",{"A":14,"B":15,"C":16,"D":17},"對不同性別的父母產生性吸引","強烈地傾向追求愉悅、避免痛苦","行為傾向一板一眼、缺乏彈性","生活的大小事都要他人為其承擔責任","C",null,[],"本題考點在於佛洛伊德心性發展理論的肛門期固著。依心性發展理論,肛門期(約 1.5–3 歲)的發展任務是透過排便訓練學習自我控制;若管教過度嚴苛,兒童易形成「肛門滯留型」性格,表現為過度整潔、吝嗇、固執、一板一眼、缺乏彈性,即強迫型人格特質,故選 C。A 對不同性別父母產生性吸引是性蕾期(3–6 歲)伊底帕斯情結的內容;B 強烈追求愉悅、避免痛苦是本我(id)依循的享樂原則,屬人格結構概念而非肛門期固著結果;D 大小事要他人承擔責任、過度依賴,對應口腔期固著的依賴型性格。","佛洛伊德心性發展五期與固著性格對照:口腔期(0–1.5 歲)固著→依賴、被動、貪吃、菸酒成癮傾向;肛門期(1.5–3 歲)固著→肛門滯留型(頑固、吝嗇、潔癖、強迫)或肛門排放型(邋遢、浪費、反抗);性蕾期(3–6 歲)→伊底帕斯\u002F戀母、戀父情結,超我於此期形成;潛伏期(6–12 歲)→性衝動潛抑,發展同儕社交;兩性期(12 歲後)→成熟性心理。臨床連結:強迫型人格障礙症(OCPD)在精神分析觀點即與肛門期過度訓練有關。記憶口訣:「口依賴、肛固執、性蕾戀親」。",[24,26,28,30],{"term":25,"count":10},"佛洛伊德心性發展理論",{"term":27,"count":10},"肛門期固著",{"term":29,"count":10},"肛門滯留型性格",{"term":31,"count":10},"強迫型人格特質",[33,37,42,48,52,57],{"webId":34,"stem":35,"number":36,"year":9,"session":10},"nurse-113-1-psychiatric-community-014","有關恐慌症的敘述，下列何者最不適切？",14,{"webId":38,"stem":39,"number":40,"year":9,"session":41},"nurse-113-3-psychiatric-community-010","陳小華，20 歲診斷為思覺失調症，在高中二年級即出現幻聽，常覺得別人在議論他，大家都知道他在想什麼，拒絕與人接觸，不願意上學，自我照顧變差。下列何者屬於正性精神症狀？",10,3,{"webId":43,"stem":44,"number":45,"year":46,"session":47},"nurse-114-2-psychiatric-community-004","長期使用鋰鹽（Lithium）治療雙相情緒障礙症（bipolar disorder），下列何項是必須定期檢查的項目？①甲狀腺功能 ②肺功能 ③肝臟功能 ④腎臟功能",4,114,2,{"webId":49,"stem":50,"number":47,"year":51,"session":10},"nurse-106-1-psychiatric-community-002","護理師在精神科病房帶領團體治療，病友在團體中感謝其他病人對他的接納與信任，分享他從團體中體驗到人與人之間是可以相互信賴，此活動運用下列何項精神護理概念模式？",106,{"webId":53,"stem":54,"number":55,"year":56,"session":10},"nurse-107-1-psychiatric-community-046","社區護理師提供發展遲緩兒童之早期療育服務，下列何者錯誤？",46,107,{"webId":58,"stem":59,"number":60,"year":61,"session":47},"nurse-108-2-psychiatric-community-080","社區衛生護理師在教導民眾預防慢性腎臟病的方法，下列何者正確？",80,108,"2026-09-04",1788510751154]