[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-113-2-psychiatric-community-005":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":11},"nurse-113-2-精神科與社區衛生護理學-005","nurse-113-2-psychiatric-community-005",113,2,5,"有關恐慌症的敘述，下列何者最適切？",{"A":14,"B":15,"C":16,"D":17},"為器質性因素所引起的急性混亂","藥物治療以情緒穩定劑如鋰鹽為主","心理治療無助於改善病情","發作時應以病人安全為優先處置","D",null,[],"本題考點在於恐慌症(panic disorder)的臨床特性與處置原則。恐慌症屬焦慮症,發作時出現突發強烈的心悸、呼吸困難、瀕死感等,個案可能因極度恐慌而有失控或危險行為。D 正確:發作時應以病人安全為優先,陪伴、提供安靜環境、引導緩慢呼吸,故為最適切、即答案。A 錯誤:恐慌症屬焦慮性(功能性)疾患,非「器質性因素」引起的急性混亂(器質性指腦部實質病變)。B 錯誤:藥物以抗焦慮劑(benzodiazepines)與 SSRI 抗憂鬱劑為主,而非情緒穩定劑鋰鹽(鋰鹽用於雙相情緒障礙)。C 錯誤:認知行為治療對恐慌症效果明確,心理治療並非無助。考點在於恐慌症的藥理分類與急性期安全處置。","恐慌症治療雙軌:急性期用短效 benzodiazepine 緩解,長期以 SSRI\u002FSNRI 預防復發併認知行為治療(暴露療法、呼吸訓練、糾正災難化認知)。發作僅約 10 分鐘達高峰,護理重點是陪伴、降低刺激、避免過度換氣。鋰鹽是雙相情緒穩定劑,勿與焦慮症用藥混淆。記憶:恐慌=焦慮譜系,安全與呼吸調節優先。",[24,26,29,32],{"term":25,"count":11},"認知行為治療",{"term":27,"count":28},"恐慌症",3,{"term":30,"count":31},"焦慮症藥理(SSRI\u002FBZD)",1,{"term":33,"count":31},"急性期安全處置",[35,39,43,47,52,57],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-113-2-psychiatric-community-006","吳先生，25 歲，唸高中時出現幻聽、被害妄想，開始接受精神科治療，近三個月自行減藥，症狀越來越嚴重，他告訴護理師：「我知道我有精神病，我知道我的病吃藥可以改善，但我就是不想吃那麼多藥。」這是屬於何種病識感？",6,{"webId":40,"stem":41,"number":10,"year":42,"session":31},"nurse-114-1-psychiatric-community-002","精神醫學史上，主張不以鐵鍊限制病人行動，奠定人道主義精神照護的代表性人物，下列何者正確？",114,{"webId":44,"stem":45,"number":46,"year":42,"session":10},"nurse-114-2-psychiatric-community-046","78 歲吳爺爺，因糖尿病控制不佳導致雙下肢足部皮膚出現潰瘍傷口，行動不便，需每個月至醫院回診。有關吳爺爺可申請的長照資源，下列何者最不適當？",46,{"webId":48,"stem":49,"number":50,"year":51,"session":31},"nurse-106-1-psychiatric-community-044","有關因果關係的判斷敘述，下列何者錯誤？",44,106,{"webId":53,"stem":54,"number":55,"year":56,"session":10},"nurse-107-2-psychiatric-community-008","有關病人出現的臨床精神症狀敘述，下列何者最適當？",8,107,{"webId":58,"stem":59,"number":60,"year":61,"session":31},"nurse-109-1-psychiatric-community-042","有關全民健保之兒童牙齒塗氟的補助對象，下列何者錯誤？",42,109,"2026-09-04",1788510755799]