[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-114-1-psychiatric-community-010":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"lastmod":63},"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-010","nurse-114-1-psychiatric-community-010",114,1,10,"根據DSM-5診斷準則，有關情感思覺失調症（schizoaffective disorder）的敘述，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"臨床症狀以情感障礙為主","在無情緒障礙症發作時，有二週以上的妄想或幻覺","思考障礙和情緒障礙不會同時發作","不會出現妄想、幻覺","B",null,[],"本題考點在於 DSM-5 情感思覺失調症（schizoaffective disorder）的診斷準則。依 DSM-5，此症的關鍵鑑別在於：在整個病程中，曾有一段「無明顯情緒障礙發作」的期間，仍持續存在至少二週以上的妄想或幻覺，藉此與單純的情感障礙（情緒症狀好轉幻覺妄想即消失）區分，故選 B。A 錯誤，本症並非以情感障礙為主，而是精神病症狀與情感症狀「並存」且各佔重要地位。C 錯誤，思考障礙與情緒障礙在病程中會有同時發作的期間。D 錯誤，本症本質上必然出現妄想或幻覺等精神病症狀。故正解為 B。","鑑別關鍵記憶：schizoaffective =「思覺失調＋情感」的橋樑診斷。與情感障礙合併精神病症狀的差異就在那「至少兩週、無情緒發作時仍有幻覺妄想」的空窗，代表精神病症狀有其獨立性，而非單純情緒的附屬產物。",[24,27,29,31],{"term":25,"count":26},"DSM-5",13,{"term":28,"count":10},"情感思覺失調症",{"term":30,"count":10},"妄想幻覺持續二週",{"term":32,"count":10},"鑑別診斷",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-114-1-psychiatric-community-011","​宋 小姐因情緒低落且有自殺行為，入院治療已兩週，常一個人臥床獨處，少與其他病友互動。下列何項護理措施最適宜？",11,{"webId":39,"stem":40,"number":41,"year":9,"session":42},"nurse-114-3-psychiatric-community-007","關於同理心，下列敘述何者最適當？",7,3,{"webId":44,"stem":45,"number":10,"year":46,"session":47},"nurse-115-2-psychiatric-community-001","林先生，診斷為思覺失調症（schizophrenia），近因被害妄想、情緒激躁，因此住院治療，一週後情緒趨於穩定，林先生詢問何時可以出院，下列護理師告知病人的處理何者最適當？",115,2,{"webId":49,"stem":50,"number":51,"year":52,"session":47},"nurse-106-2-psychiatric-community-069","衛生福利部為改善山地離島地區醫療不足與就醫不便問題，規劃有能力、有意願的醫療院所，至山地離島地區提供定點或巡迴醫療服務，此計畫名稱為何？",69,106,{"webId":54,"stem":55,"number":56,"year":57,"session":47},"nurse-108-2-psychiatric-community-033","安排病人參與社區復健活動，護理師所執行的個案管理措施，下列何者正確？",33,108,{"webId":59,"stem":60,"number":61,"year":62,"session":47},"nurse-109-2-psychiatric-community-067","依據勞工健康保護規則，規定未滿 40 歲一般作業員至少多久做 1 次健康檢查？",67,109,"2026-09-04",1788510758170]