[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-114-1-psychiatric-community-019":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"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-019","nurse-114-1-psychiatric-community-019",114,1,19,"陳小弟，上課時容易分心、坐不住、喜歡往外跑，不受控制的行為讓老師很困擾。陳小弟最可能出現以下何項問題？",{"A":14,"B":15,"C":16,"D":17},"智能不足（intellectural disabilities）","雙相情緒障礙症（bipolar disorder）","妥瑞氏症（Tourette's disorder）","注意力不足／過動症（ADHD）","D",null,[],"本題考點在於兒童青少年常見精神疾患的鑑別。依 DSM-5 診斷特徵，注意力不足／過動症（ADHD）核心症狀為注意力不集中（易分心）、過動（坐不住）與衝動（不受控往外跑），題中陳小弟的表現完全符合，故選 D。A「智能不足」以認知與適應功能顯著低下為主，非以過動分心為核心。B「雙相情緒障礙症」以情緒高低起伏交替發作為特徵，題幹無情緒週期描述。C「妥瑞氏症」以慢性、非自主的動作型與聲語型抽動（tics）為核心，題中並無抽動描述。四者中唯 D 完全對應注意力不集中與過動衝動，故正解為 D。","ADHD 三大症狀群：不專注、過動、衝動，須於 12 歲前出現且跨情境（如同時在校與在家）。與妥瑞氏症鑑別在於後者以 tics 為主；與智能不足鑑別在於 ADHD 認知功能多屬正常範圍。治療常合併行為治療與中樞興奮劑。",[24,27,30,32],{"term":25,"count":26},"妥瑞氏症",3,{"term":28,"count":29},"兒童精神疾患鑑別",2,{"term":31,"count":10},"ADHD",{"term":33,"count":10},"注意力不集中與過動衝動",[35,39,43,48,53,58],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-114-1-psychiatric-community-020","有關老年憂鬱症的敘述，下列何者最不適切？",20,{"webId":40,"stem":41,"number":42,"year":9,"session":26},"nurse-114-3-psychiatric-community-016","一位 22 歲女性，常瘋狂地逃避想像被男友拋棄、經常有空虛感、對人際關係極度敏感、情緒不穩定、有過度消費和割腕等自我傷害的衝動行為。這位病人最可能罹患下列何項人格障礙症？",16,{"webId":44,"stem":45,"number":46,"year":47,"session":29},"nurse-115-2-psychiatric-community-010","下列有關憂鬱症病因之敘述何者正確？①病人最常使用的防禦機轉為內射 ②病人的本我弱，超我強 ③病人對自我有負向看法，這是屬於認知理論 ④當憂鬱情緒好轉時，自殺的意念就會消失",10,115,{"webId":49,"stem":50,"number":51,"year":52,"session":29},"nurse-106-2-psychiatric-community-078","教導糖尿病個案如何使用鏡子來觀察腳底皮膚狀況，讓個案可以回去自行觀察，下列何種教學方法最適合？",78,106,{"webId":54,"stem":55,"number":56,"year":57,"session":29},"nurse-108-2-psychiatric-community-042","下列何者是用來比較國家公共衛生與醫療進步最敏感與評估婦幼衛生工作推展成效的指標？",42,108,{"webId":59,"stem":60,"number":61,"year":62,"session":29},"nurse-109-2-psychiatric-community-076","周先生近日痛風頻繁發作，社區護理師進行家訪衛教，下列何者錯誤？",76,109,"2026-09-04",1788510758244]