[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-114-1-psychiatric-community-003":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":35,"lastmod":64},"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-114-1-精神科與社區衛生護理學-003","nurse-114-1-psychiatric-community-003",114,1,3,"根據DSM-5診斷準則，有關精神疾病的診斷及臨床表徵，下列敘述何者正確？",{"A":14,"B":15,"C":16,"D":17},"妄想症（delusional disorder）病人經常會出現明顯奇特怪異的行為","重鬱症（major depressive disorder）病人最常出現思緒飛躍的症狀","思覺失調症（schizophrenia）病人最常出現罪惡妄想的症狀","強迫症（obessive-compulsive disorder）病人會出現強迫思考、強迫行為的症狀","D",null,[],"本題考點在於 DSM-5 各精神疾病的核心臨床表徵。依 DSM-5，強迫症（OCD）的核心即強迫思考（反覆侵入的念頭）與強迫行為（為緩解焦慮而重複的儀式行為），故 D 正確。A 妄想症（delusional disorder）的妄想多屬「非怪異、可能發生」的內容，且功能相對保存，不會出現明顯怪異行為，錯誤。B 重鬱症以情緒低落、興趣喪失為主，「思緒飛躍」是躁症的表現，錯誤。C 思覺失調症以幻覺、妄想、思考障礙等正負性症狀為主，「罪惡妄想」反而是重鬱症較典型的妄想內容，錯誤。","OCD 雙核心：obsession（自我不悅、侵入性思考，如怕髒、怕傷人）＋compulsion（中和焦慮的儀式，如洗手、檢查）。鑑別要點：思緒飛躍（flight of ideas）＝躁症；罪惡\u002F貧窮\u002F虛無妄想＝重鬱症；怪異妄想與幻聽＝思覺失調症；妄想症＝單一非怪異妄想、其餘功能正常。DSM-5 把 OCD 從焦慮症獨立成專章。",[24,27,30,33],{"term":25,"count":26},"DSM-5",13,{"term":28,"count":29},"強迫症",6,{"term":31,"count":32},"強迫思考與行為",2,{"term":34,"count":10},"疾病表徵鑑別",[36,40,44,49,54,59],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-114-1-psychiatric-community-004","有關抗精神病藥物的敘述，下列何者正確？",4,{"webId":41,"stem":42,"number":43,"year":9,"session":32},"nurse-114-2-psychiatric-community-050","有關校園中健康問題處理的優先順序，下列何者應優先處理？",50,{"webId":45,"stem":46,"number":47,"year":48,"session":10},"nurse-115-1-psychiatric-community-044","護理師對於懷孕的女性勞工在母性健康保護的相關措施，下列何者最不適當？",44,115,{"webId":50,"stem":51,"number":52,"year":53,"session":32},"nurse-106-2-psychiatric-community-062","生命統計中，常用到比例（ratio），下列何者不包含在內？",62,106,{"webId":55,"stem":56,"number":57,"year":58,"session":32},"nurse-108-2-psychiatric-community-026","朱小姐，一位住院的精神病人，22 歲，護生實習照顧她已三週，護理師觀察到朱小姐與護生互動良好，且都能在護生陪同下配合病房活動，但每天約下午 3 點多護生與護理師交班時，朱小姐會出現焦慮，害怕的情形，而頻頻要求入保護室，請問下列那一項可列入照護計畫中？",26,108,{"webId":60,"stem":61,"number":62,"year":63,"session":32},"nurse-109-2-psychiatric-community-060","有關免疫力（immunity）的敘述，下列何者正確？",60,109,"2026-09-04",1788510758101]