[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-114-1-psychiatric-community-015":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"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-015","nurse-114-1-psychiatric-community-015",114,1,15,"有關創傷後壓力症（posttraumatic stress disorder）的敘述，下列何者最適切？",{"A":14,"B":15,"C":16,"D":17},"會出現解離反應，感到創傷事件重演","不包含目擊創傷發生於他人身上的經驗","創傷事件不會產生明顯生理反應","負面情緒不包含易怒或無預兆的發怒","A",null,[],"本題考點在於創傷後壓力症（PTSD）的臨床特徵。依 DSM-5 診斷準則，PTSD 個案常出現解離反應，如瞬間重歷其境（flashback），感到創傷事件彷彿正在重演，故選 A。B 錯誤，DSM-5 明確納入「目擊創傷發生於他人身上」作為創傷暴露的來源之一。C 錯誤，創傷相關線索常引發明顯生理反應（如心悸、冒汗、驚跳），此為過度警覺與再經驗症狀的一部分。D 錯誤，PTSD 的負向情緒與過度警覺症狀「包含」易怒與無預兆發怒。四項中唯 A 正確描述解離性再經驗特徵，故正解為 A。","PTSD 四大症狀群記憶：再經驗（flashback、惡夢）、逃避、認知情緒負向改變、過度警覺（易怒、驚跳、失眠）。flashback 屬解離現象，個案主觀上感到創傷重演；生理反應與過度警覺皆為自律神經過度激發的表現。",[24,27,30,32],{"term":25,"count":26},"DSM-5",13,{"term":28,"count":29},"創傷後壓力症",2,{"term":31,"count":29},"過度警覺",{"term":33,"count":10},"解離與再經驗",[35,39,44,49,54,59],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-114-1-psychiatric-community-016","辛小姐診斷為強迫症，會反覆出現希望妹妹死掉的念頭，且對此感到非常焦慮。所以每當看到妹妹時，就開始在心中默念圓周率的數字以減輕焦慮。下列何項敘述最能說明辛小姐的行為？",16,{"webId":40,"stem":41,"number":42,"year":9,"session":43},"nurse-114-3-psychiatric-community-012","承上題，對楊小姐所進行之護理措施何者最不適當？",12,3,{"webId":45,"stem":46,"number":47,"year":48,"session":29},"nurse-115-2-psychiatric-community-006","電氣痙攣療法（electroconvulsive therapy, ECT）的臨床適應症，下列選項何者較適當？①人格障礙症 ②對藥物治療無效的躁症 ③嚴重憂鬱症且自殺意念強烈 ④思覺失調症合併僵直症",6,115,{"webId":50,"stem":51,"number":52,"year":53,"session":29},"nurse-106-2-psychiatric-community-074","我國長期照顧服務法，所指之長期照顧對象是指身心失能持續達多久以上的人？",74,106,{"webId":55,"stem":56,"number":57,"year":58,"session":29},"nurse-108-2-psychiatric-community-038","有關自殺危險因子之說明，下列敘述何者正確？①自殺危險因子廣布於生物、心理、社會、經濟、文化層面，絕非單一因素 ②自殺危險因子具有快速變動與不易測度的特質，故此自殺防範應單一統由專責人員負責 ③自殺的危險遠端因子中包括精神科疾病、致命工具的可近性 ④社會心理因素會與自殺相關，如重大失落事件",38,108,{"webId":60,"stem":61,"number":62,"year":63,"session":29},"nurse-109-2-psychiatric-community-072","根據勞工健康保護規則，有關勞工健康檢查的敘述，下列何者正確？",72,109,"2026-09-04",1788510758213]