[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-113-3-psychiatric-community-014":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"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-014","nurse-113-3-psychiatric-community-014",113,3,14,"王女士，遭遇嚴重土石流而家園全毀，倖存後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},"應等待病人做好心理準備才進行危機處理，預後較佳","對人有疏離或與他人疏離，無法感到幸福與被愛","無法記得創傷事件的一個重要情節","可能會有恐懼、驚恐、憤怒、罪惡感和羞愧","A",null,[],"本題考點在於創傷後壓力症（PTSD）的臨床特徵與危機處理原則。本題為反向題，最不適切者為 A。危機介入強調「及早」在事件後提供支持與處理，以降低後續創傷後壓力症的嚴重度，故「應等病人做好心理準備才進行危機處理、預後較佳」的敘述不適切，A 錯誤。B 對他人疏離、難以感受幸福與被愛屬負向認知與情緒改變，正確；C 無法記得創傷事件的重要情節屬解離性失憶，正確；D 可能出現恐懼、驚恐、憤怒、罪惡感與羞愧，正確。判斷關鍵在於危機處理宜及早介入而非被動等待。","PTSD 四大症狀群：再經驗（flashback、惡夢）、逃避（迴避相關人事物）、負向認知與情緒（疏離、失憶、罪惡感）、過度警覺（易受驚、失眠、易怒）。危機介入著重及早、簡短、聚焦現實與安全的支持，協助情緒宣洩與重建掌控感。延遲介入可能使急性壓力反應固著為慢性 PTSD。可連結創傷知情照護原則。",[24,27,29,32],{"term":25,"count":26},"危機介入",4,{"term":28,"count":10},"創傷後壓力症 PTSD",{"term":30,"count":31},"解離性失憶",2,{"term":33,"count":31},"過度警覺",[35,39,44,50,55,60],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-113-3-psychiatric-community-015","畏避型人格障礙症（avoidant personality disorder）臨床特徵的敘述，下列何者最適切？",15,{"webId":40,"stem":41,"number":42,"year":43,"session":31},"nurse-114-2-psychiatric-community-011","董先生 44 歲，擔任貿易公司科長，近 2 個月來，出現食慾差、體重下降、失眠，感覺人生沒有希望，有自殺企圖，入院治療。下列護理措施何項最優先？",11,114,{"webId":45,"stem":46,"number":47,"year":48,"session":49},"nurse-115-1-psychiatric-community-005","有關老人憂鬱症的敘述，下列何者錯誤？",5,115,1,{"webId":51,"stem":52,"number":53,"year":54,"session":31},"nurse-106-2-psychiatric-community-023","有關自殺防治的敘述，下列何者正確？",23,106,{"webId":56,"stem":57,"number":58,"year":59,"session":31},"nurse-107-2-psychiatric-community-067","社區衛生護理師扮演的代言人（advocate）角色，下列敘述何者最適當？",67,107,{"webId":61,"stem":62,"number":63,"year":64,"session":31},"nurse-109-2-psychiatric-community-021","蔡小姐診斷為思覺失調症，第一次發病，護理師觀察到個案眼神閃爍，站在病室前，神情緊張，個案告訴護理師一直聽到有人在罵自己醜女人，我真的好痛苦，下列護理師的回應何者最適切？",21,109,"2026-09-04",1788510753537]