[{"data":1,"prerenderedAt":62},["ShallowReactive",2],{"q-nurse-113-1-psychiatric-community-014":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":32,"lastmod":61},"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-014","nurse-113-1-psychiatric-community-014",113,1,14,"有關恐慌症的敘述，下列何者最不適切？",{"A":14,"B":15,"C":16,"D":17},"預期中的反覆發作","突發的恐懼會於幾分鐘內達最高峰","常見心悸、喘不過氣、胸痛等症狀","可能出現失真感、失自我感","A",null,[],"本題考點在於恐慌症的診斷特徵,辨識錯誤敘述。依 DSM-5,恐慌症的核心是「反覆、非預期(unexpected)的恐慌發作」,即發作無明顯誘因、無法預測何時出現,A 寫成「預期中的反覆發作」正好與診斷準則相反,故最不適切為 A。B 正確,恐慌發作的恐懼或不適感在數分鐘內達到最高峰,是準則明文;C 正確,心悸、呼吸困難(喘不過氣)、胸痛、出汗、發抖皆為恐慌發作的典型自主神經症狀,常被誤認為心肌梗塞而送急診;D 正確,失現實感(derealization)與失自我感(depersonalization)列於恐慌發作十三項症狀之中。","DSM-5 恐慌發作 13 項症狀須出現≥4 項:心悸、出汗、發抖、呼吸急促、哽塞感、胸痛、噁心、頭暈、冷熱感、感覺異常、失現實\u002F失自我感、害怕失控或發瘋、瀕死感。恐慌症診斷還須:發作後≥1 個月持續擔心再發作或出現行為改變(如迴避)。「非預期」是與特定畏懼症的關鍵鑑別——畏懼症的恐懼是可預期的(遇到特定對象才發作)。治療:SSRI 為第一線,BZD 短期輔助,認知行為治療(含呼吸再訓練)證據等級高。考場秒殺技:看到「預期」配「恐慌症」直接判錯。",[24,26,28,30],{"term":25,"count":10},"DSM-5 恐慌症診斷準則",{"term":27,"count":10},"非預期性恐慌發作",{"term":29,"count":10},"自主神經症狀",{"term":31,"count":10},"失現實感與失自我感",[33,37,42,48,52,57],{"webId":34,"stem":35,"number":36,"year":9,"session":10},"nurse-113-1-psychiatric-community-015","有關美沙冬（methadone）的敘述，下列何者正確？",15,{"webId":38,"stem":39,"number":40,"year":9,"session":41},"nurse-113-3-psychiatric-community-011","有關妄想症狀的護理措施，下列敘述何者最適切？",11,3,{"webId":43,"stem":44,"number":45,"year":46,"session":47},"nurse-114-2-psychiatric-community-005","有關自閉症類群障礙症（autism spectrum disorder）之敘述，下列何者錯誤？",5,114,2,{"webId":49,"stem":50,"number":41,"year":51,"session":10},"nurse-106-1-psychiatric-community-003","一位從小被父親性侵至大學的 20 歲女大學生，因出現自傷行為而住院。主護護理師與之會談，談及家庭時，認為爸爸是愛她的，承認父親性侵她卻完全記不起來任何一次性侵的過程。但有時突然大哭時卻能詳細說出父親性侵她的過程。此種心理防衛機轉最有可能是下列何項？",106,{"webId":53,"stem":54,"number":55,"year":56,"session":10},"nurse-107-1-psychiatric-community-047","有關學校護理師在學生健康檢查實施方式的敘述，下列何者錯誤？",47,107,{"webId":58,"stem":59,"number":10,"year":60,"session":10},"nurse-109-1-psychiatric-community-001","澎湖縣的王先生為拒絕住院之嚴重病人，需緊急安置強制住院，依據現行精神衛生法得經由下列何者鑑定最為合適？",109,"2026-09-04",1788510751172]