[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-113-2-psychiatric-community-017":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"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-113-2-精神科與社區衛生護理學-017","nurse-113-2-psychiatric-community-017",113,2,17,"林小姐，為重大火車出軌事件的倖存者，診斷為創傷後壓力症（posttraumatic stress disorder），下列敘述何者最不適切？",{"A":14,"B":15,"C":16,"D":17},"症狀需持續六個月以上","會對出軌意外的原因或結果歸咎自己","不斷出現火車出軌的畫面","可能會出現口語或肢體攻擊性行為","A",null,[],"本題考點在於創傷後壓力症(PTSD)的診斷準則與臨床表現。依 DSM-5,PTSD 的症狀持續時間須「超過一個月」;若在創傷後即出現但持續在一個月內,則診斷為急性壓力症(acute stress disorder)。本題為反向題,最不適切者為 A:「症狀需持續六個月以上」時間錯誤,應為超過一個月,故 A 為答案。B「對意外原因或結果歸咎自己」符合 PTSD 常見的負向認知與罪惡感。C「不斷出現出軌畫面」屬侵入性再經驗(flashback、影像重現)的核心症狀。D「口語或肢體攻擊性行為」屬過度警醒與易怒的表現。考點在於掌握 PTSD 的一個月時間準則,並與急性壓力症區辨。","DSM-5 PTSD 四大症狀群:侵入性再經驗、逃避、認知與情緒的負向改變、過度警醒,症狀須持續超過一個月並造成功能損害。與急性壓力症的差別在時間:症狀持續 3 天至 1 個月為急性壓力症,超過 1 個月才是 PTSD。部分個案為延遲發作(創傷後六個月才出現),但「診斷所需持續時間」是一個月。記憶:PTSD 門檻是一個月,不是六個月。",[24,26,29,31],{"term":25,"count":10},"症狀持續一個月",{"term":27,"count":28},"PTSD 診斷準則",1,{"term":30,"count":28},"急性壓力症區辨",{"term":32,"count":28},"侵入性再經驗",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-113-2-psychiatric-community-018","有關物質使用障礙症病人的護理措施，下列敘述何者不適切？",18,{"webId":39,"stem":40,"number":41,"year":42,"session":28},"nurse-114-1-psychiatric-community-014","林先生總是表現出自己很優越，看不起醫護人員，認為自己是群體中最重要的人，且擁有特權。護理師針對此自戀行為（narcissistic）之應對方式，下列何者最適切？",14,114,{"webId":44,"stem":45,"number":46,"year":42,"session":47},"nurse-114-3-psychiatric-community-008","李先生的妻女在一次意外事件中相繼過世，有關李先生對此事件的心理調適防衛機轉，下列敘述何者最適當？",8,3,{"webId":49,"stem":50,"number":51,"year":52,"session":28},"nurse-106-1-psychiatric-community-056","下列何項最能描述四大非傳染性疾病（癌症、糖尿病、心血管疾病、慢性呼吸道疾病）的共同危險因素？",56,106,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-107-2-psychiatric-community-020","蔡先生，26 歲，為雙相情緒障礙症病人（昔稱躁症），要求外出抽菸，不被接受時出現攻擊性行為，護理師之處置下列何者不適當？",20,107,{"webId":59,"stem":60,"number":61,"year":62,"session":28},"nurse-109-1-psychiatric-community-054","經過社區健康營造之後，某社區居民提升口腔癌與檳榔使用的認知，也願意改變以種植檳榔維生的方式。這是屬於何種評價？",54,109,"2026-09-04",1788510755908]