[{"data":1,"prerenderedAt":68},["ShallowReactive",2],{"q-nurse-113-3-psychiatric-community-020":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":36,"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-020","nurse-113-3-psychiatric-community-020",113,3,20,"洪小弟，6 歲，一年多來出現不自主的眨眼睛、裝鬼臉或聳肩膀，會發出「哼、哼、哼」的聲音。洪小弟的狀況最可能是下列那個問題？",{"A":14,"B":15,"C":16,"D":17},"注意力不足／過動症（ADHD）","行為規範障礙症（Conduct Disorder）","智能不足（Intellectual Disability）","妥瑞氏症（Tourette’s Disorder）","D",null,[],"本題考點在於兒童動作與聲語型抽動症的鑑別。依 DSM-5，妥瑞氏症須同時具備多種動作型抽動與至少一種聲語型抽動，且持續超過一年。題幹眨眼、裝鬼臉、聳肩為動作型抽動，「哼哼」聲為聲語型抽動，病程一年餘，完全符合 D。A 注意力不足過動症以不專注與過動衝動為主；B 行為規範障礙症以違規侵犯他人權益為主；C 智能不足以認知功能顯著低下為主，皆非抽動表現，故選 D。","抽動具突發、快速、反覆、非節律性特徵，妥瑞氏症好發於學齡兒童，男童居多，常合併 ADHD 與強迫症。動作型＋聲語型並存且逾一年是與暫時性抽動症的關鍵區分點。強迫壓抑抽動只能短暫，之後常反彈加劇。",[24,27,29,32,34],{"term":25,"count":26},"DSM-5",13,{"term":28,"count":10},"妥瑞氏症",{"term":30,"count":31},"動作型抽動",1,{"term":33,"count":31},"聲語型抽動",{"term":35,"count":31},"病程一年",[37,41,47,52,57,62],{"webId":38,"stem":39,"number":40,"year":9,"session":10},"nurse-113-3-psychiatric-community-021","陳女士，診斷為阿茲海默症，經住院治療後準備出院。家屬顯得焦慮，不知道如何照顧陳女士，頻頻詢問其他病友家屬的照護意見。下列護理措施何者最適切？",21,{"webId":42,"stem":43,"number":44,"year":45,"session":46},"nurse-114-2-psychiatric-community-017","承上題，對於李同學應採取的護理措施，下列何者最適當？",17,114,2,{"webId":48,"stem":49,"number":50,"year":51,"session":31},"nurse-115-1-psychiatric-community-011","謝先生，診斷為雙相情緒障礙症，因要求外出抽菸未獲同意，在病室內摔東西。下列何項護理措施最適宜？",11,115,{"webId":53,"stem":54,"number":55,"year":56,"session":46},"nurse-106-2-psychiatric-community-029","陳太太在一次大地震中，親眼目睹自己的家園及女兒被海嘯吞噬，而自己也因躲避海嘯而身體多處受傷。事發後，陳太太出現反覆夢見自己被海嘯吞噬的惡夢，不想參加任何活動，對未來抱持悲觀的心態，且不願談論與海嘯有關的話題，出現失眠、易怒等症狀，症狀持續一個月仍未改善，請問陳太太最可能的診斷為何？",29,106,{"webId":58,"stem":59,"number":60,"year":61,"session":46},"nurse-107-2-psychiatric-community-073","根據 Wold（1981）所提，從事學校衛生護理工作應具備那些系統性概念？①公共衛生 ②適應功能 ③互助性人際關係 ④工具 ⑤系統化過程 ⑥全球健康",73,107,{"webId":63,"stem":64,"number":65,"year":66,"session":46},"nurse-109-2-psychiatric-community-027","王小姐，1 年多來在電梯內及地下室特別容易焦慮不安及恐懼，會儘量迴避到這些場所，雖能認知此種害怕並不合理，但自己卻無法控制，其症狀最有可能為下列何項？",27,109,"2026-09-04",1788510753595]