[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-113-2-psychiatric-community-012":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"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-113-2-精神科與社區衛生護理學-012","nurse-113-2-psychiatric-community-012",113,2,12,"根據 DSM-5 診斷準則，有關第一型雙相情緒障礙症（bipolar disorder）之鬱症（major depressive episode）症狀，不包括下列何項？",{"A":14,"B":15,"C":16,"D":17},"幾乎每天都感到悲傷、哭泣","偶而睡眠差無精打采","一個月內體重明顯增加或減少超過 5%","社交、職業或其他重要功能減損","B",null,[],"本題考點在於 DSM-5 鬱症發作(major depressive episode)的診斷準則。鬱症發作需在兩週內出現至少五項症狀,且症狀「幾乎每天、一整天」持續,強調症狀的顯著與持續性。本題為反向題,不包括的選項為 B:「偶而睡眠差、無精打采」中的「偶而」不符合鬱症「幾乎每天」的持續性要求,程度也過輕,故 B 不屬鬱症準則、即答案。A「幾乎每天悲傷、哭泣」符合憂鬱情緒準則。C「一個月內體重明顯增減超過 5%」符合體重食慾改變準則(DSM-5 為未刻意節食下一個月變化超過 5%)。D「社交、職業或重要功能減損」是所有精神疾患診斷的功能損害要件。考點在於鬱症準則強調症狀的持續性與顯著程度。","DSM-5 鬱症發作準則需兩週內≥5 項且含情緒低落或失去興趣至少一項,症狀近乎每日:憂鬱情緒、興趣減退、體重食慾變化(±5%\u002F月)、失眠或嗜睡、精神運動性遲滯或激動、疲倦、無價值感或罪惡感、專注力下降、反覆想到死亡。關鍵字「幾乎每天、持續兩週」把『偶而、輕微』排除在外。記憶:鬱症看持續性與嚴重度,偶發輕症不算。",[24,26,29,31],{"term":25,"count":10},"功能損害要件",{"term":27,"count":28},"DSM-5 鬱症發作準則",1,{"term":30,"count":28},"症狀持續性",{"term":32,"count":28},"體重食慾變化5%",[34,38,43,47,52,57],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-113-2-psychiatric-community-013","有關思覺失調症的致病原因，下列敘述何者最不適切？",13,{"webId":39,"stem":40,"number":41,"year":42,"session":28},"nurse-114-1-psychiatric-community-009","胡先生，診斷為思覺失調症，因不停將家中東西丟到大街上，哥哥予以制止，胡先生即要攻擊哥哥。剛入住急性病房治療，下列何者為最優先的護理處置？",9,114,{"webId":44,"stem":45,"number":46,"year":42,"session":46},"nurse-114-3-psychiatric-community-003","依據環境治療原則，在精神科病房公共區域懸掛日曆及時鐘的主要目的，下列何者最適當？",3,{"webId":48,"stem":49,"number":50,"year":51,"session":28},"nurse-106-1-psychiatric-community-051","社區有形的資源中，最容易取得但最難掌控者，下列何者正確？",51,106,{"webId":53,"stem":54,"number":55,"year":56,"session":10},"nurse-107-2-psychiatric-community-015","季節性鬱症發作病人，經常在特定季節感到情緒低落，此類病人較常在何季節發作？①春季 ②夏季 ③秋季 ④冬季",15,107,{"webId":58,"stem":59,"number":60,"year":61,"session":28},"nurse-109-1-psychiatric-community-049","幸福里成立守望相助隊加強社區安全防護工作，是符合華倫（Warren）所提出五大社區功能中的那一項？",49,109,"2026-09-04",1788510755871]