[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-113-3-psychiatric-community-010":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":36,"lastmod":65},"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":26},"nurse-113-3-精神科與社區衛生護理學-010","nurse-113-3-psychiatric-community-010",113,3,10,"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？",{"A":14,"B":15,"C":16,"D":17},"拒絕與人接觸","不願意上學","持續出現幻聽","自我照顧變差","C",null,[],"本題考點在於思覺失調症正性與負性症狀的區辨。題幹選項中，屬於正性精神症狀者為 C：持續出現幻聽，因幻覺屬於「額外多出來」的異常知覺經驗，故選 C。A 拒絕與人接觸、B 不願意上學（社交退縮）、D 自我照顧變差，皆屬功能與動機的「減損」，屬於負性症狀。判斷關鍵在於正性症狀為正常功能之外的異常增加（幻覺、妄想、混亂），負性症狀則為正常功能的缺損或減退（退縮、平淡、動機不足）。","正性症狀反映功能的扭曲或增添：幻覺、妄想、思考與行為混亂，通常對抗精神病藥物反應較佳。負性症狀反映功能的缺失：情感平淡、動機缺乏、社交退縮、快感缺失、言語貧乏，較難治療且影響長期功能與預後。記憶法：正性＝多出來的、負性＝少掉的。本題幻聽是唯一「多出來」的異常經驗。",[24,27,30,33],{"term":25,"count":26},"思覺失調症",17,{"term":28,"count":29},"正性症狀",6,{"term":31,"count":32},"負性症狀",5,{"term":34,"count":35},"幻聽",2,[37,41,46,51,56,61],{"webId":38,"stem":39,"number":40,"year":9,"session":10},"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,{"webId":42,"stem":43,"number":44,"year":45,"session":35},"nurse-114-2-psychiatric-community-007","關於理情治療（rational emotive therapy）的論點，下列敘述何者正確？",7,114,{"webId":47,"stem":48,"number":49,"year":50,"session":49},"nurse-115-1-psychiatric-community-001","吳小姐，24歲，碩士生，單親家庭，因應疫情返家遠距學習，在家期間與母親朝夕相處備感壓力。返診時對護理師說:「我坐在房間窗邊會想，如果跳下去會怎樣？」，根據同理心的原則，下列何項護理師的回應最適切？",1,115,{"webId":52,"stem":53,"number":54,"year":55,"session":35},"nurse-106-2-psychiatric-community-019","臨床上採用 Aricept 作為治療阿茲海默症初、中期的記憶障礙，其主要作用機轉為何？",19,106,{"webId":57,"stem":58,"number":59,"year":60,"session":35},"nurse-107-2-psychiatric-community-063","針對糖尿病友辦理 20 人的「控糖班」，設計六週課程，預算經費 20,000 元。依據 PRECEDE-PROCEED 模式，是屬於何診斷？",63,107,{"webId":62,"stem":63,"number":26,"year":64,"session":35},"nurse-109-2-psychiatric-community-017","身為主護護理師，此階段照護何者最重要？",109,"2026-09-04",1788510753502]