[{"data":1,"prerenderedAt":68},["ShallowReactive",2],{"q-nurse-113-3-psychiatric-community-016":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":37,"lastmod":67},"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-016","nurse-113-3-psychiatric-community-016",113,3,16,"有關身體症狀障礙症（somatic symptom disorder）的敘述，下列何者較不適切？",{"A":14,"B":15,"C":16,"D":17},"與人格特質有關，但與生活壓力無關","藉此引起周遭他人的注意","藉此獲得親朋好友的支持與同情","以身體症狀掩飾情緒困擾","A",null,[],"本題考點在於身體症狀障礙症的成因與心理機轉。本題為反向題，要選「較不適切」者。依 DSM-5，此症以身體症狀為主，患者將無法言說的情緒困擾轉化為身體不適，故與人格特質及生活壓力皆密切相關，A 說「與生活壓力無關」牴觸壓力—症狀關聯，屬錯誤敘述，故選 A。B 藉症狀引起他人注意、C 獲得支持同情，屬次級獲益（secondary gain）機轉，皆正確；D 以身體症狀掩飾情緒困擾，正是本症核心，亦正確。","身體症狀障礙症的核心是情緒經由身體管道表達，臨床上常見反覆求診、多科檢查無器質異常。可對比慮病症（疾病焦慮症）著重「怕得病」，本症著重「已有症狀且過度關注」。次級獲益指症狀帶來的免責或關注，是維持行為的增強因子，衛教與治療須同時處理壓力源與獲益結構。",[24,27,30,32,35],{"term":25,"count":26},"DSM-5",13,{"term":28,"count":29},"身體症狀障礙症",5,{"term":31,"count":10},"次級獲益",{"term":33,"count":34},"情緒轉化",1,{"term":36,"count":34},"生活壓力",[38,42,47,52,57,62],{"webId":39,"stem":40,"number":41,"year":9,"session":10},"nurse-113-3-psychiatric-community-017","林同學高中生，近半年常在週末深夜 3～4 點回家，功課一落千丈，精神顯得恍惚、視覺模糊、協調性變差、心跳過速、血壓升高，近來常常夜尿頻繁而求診泌尿科，診斷為物質濫用導致的間質性膀胱炎。林同學最有可能使用下列那種毒品？",17,{"webId":43,"stem":44,"number":26,"year":45,"session":46},"nurse-114-2-psychiatric-community-013","有關思覺失調症正性症狀（positive symptoms）之行為表徵，下列何者正確？",114,2,{"webId":48,"stem":49,"number":50,"year":51,"session":34},"nurse-115-1-psychiatric-community-007","根據團體治療型態的定義及目標，鼓勵成員在團體中用言語表達，並探討個人現在與過去情境中，情緒或心理上的問題，以增進成員的人格重建或行為型態之修正與調適。屬於下列何種團體治療？",7,115,{"webId":53,"stem":54,"number":55,"year":56,"session":46},"nurse-106-2-psychiatric-community-025","初次住院的王先生表示：「我一直聽到有個女生的聲音在我的耳邊罵我，我真的好痛苦！」護理師的回應，下列何者最適當？",25,106,{"webId":58,"stem":59,"number":60,"year":61,"session":46},"nurse-107-2-psychiatric-community-069","家庭圈（family circle）最適合呈現家庭成員的何種關係？",69,107,{"webId":63,"stem":64,"number":65,"year":66,"session":46},"nurse-109-2-psychiatric-community-023","楊女士 25 歲，半個月以來情緒高昂，不斷參加社交活動，一直找人講話，但話題常跳躍，若別人聽不懂，就生氣罵人，晚上不睡覺，半夜外出，家人擔心安危，故入院治療。下列何者最可能為楊女士的症狀？",23,109,"2026-09-04",1788510753544]