[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-114-2-psychiatric-community-010":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"lastmod":62},"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":10},"nurse-114-2-精神科與社區衛生護理學-010","nurse-114-2-psychiatric-community-010",114,2,10,"有關妄想症患者（delusional disorder）之敘述，下列何者最適當？",{"A":14,"B":15,"C":16,"D":17},"具有明顯情緒症狀如憂鬱","有明顯的功能受損及怪異行為","具有系統有組織的想法但與事實不符","過度使用內射防衛機轉處理內在衝突","C",null,[],"本題考點在於妄想症（delusional disorder）的臨床特徵。妄想症的核心是具有「系統化、有組織」的非怪異妄想，內容與事實不符但邏輯結構完整，故 C 最適當為答案。A 錯，妄想症一般不伴隨明顯情緒症狀如憂鬱，若情緒症狀突出應考慮情感性疾患；B 錯，妄想症患者除妄想相關領域外，「功能大致完整、行為不怪異」，與思覺失調症的明顯功能受損及怪異行為不同；D 錯，過度使用內射（introjection）防衛機轉常見於憂鬱症，妄想症主要防衛機轉為「投射（projection）」。辨識關鍵在「系統化妄想、功能相對完整」。","區辨重點：妄想症＝非怪異妄想（內容可能真實發生，如被跟蹤、被愛）＋功能保存＋無其他精神病症狀；思覺失調症＝怪異妄想＋幻覺＋功能全面退化。妄想症主要防衛機轉是投射（將內在無法接受的衝動歸咎他人），常見類型有被害型、嫉妒型、情愛型、誇大型、身體型。",[24,26,29,31],{"term":25,"count":10},"投射防衛機轉",{"term":27,"count":28},"妄想症",1,{"term":30,"count":28},"系統化非怪異妄想",{"term":32,"count":28},"功能相對完整",[34,38,43,47,52,57],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-114-2-psychiatric-community-011","董先生 44 歲，擔任貿易公司科長，近 2 個月來，出現食慾差、體重下降、失眠，感覺人生沒有希望，有自殺企圖，入院治療。下列護理措施何項最優先？",11,{"webId":39,"stem":40,"number":41,"year":42,"session":28},"nurse-115-1-psychiatric-community-007","根據團體治療型態的定義及目標，鼓勵成員在團體中用言語表達，並探討個人現在與過去情境中，情緒或心理上的問題，以增進成員的人格重建或行為型態之修正與調適。屬於下列何種團體治療？",7,115,{"webId":44,"stem":45,"number":28,"year":46,"session":28},"nurse-106-1-psychiatric-community-001","精神衛生法中規定經專科醫師診斷或鑑定屬嚴重病人者，應置保護人 1 人，專科醫師並應開具診斷證明書交付保護人。保護人應考量嚴重病人利益。條文中的保護人可為下列何人？①監護人 ②同居人 ③配偶 ④父母 ⑤家屬 ⑥心理輔導專家 ⑦法定代理人",106,{"webId":48,"stem":49,"number":50,"year":51,"session":28},"nurse-107-1-psychiatric-community-039","王先生不確定是否為精神科病人，因為在街頭揮舞水果刀，被居民合力帶至醫院急診室求治，王先生見到精神科醫師，仍拿著水果刀對醫師表示：「你若敢動我，我就告你侵犯人身自由，我又沒怎樣，我只是在運動」，此時急診護理師採取的措施，下列何項最適切？",39,107,{"webId":53,"stem":54,"number":55,"year":56,"session":28},"nurse-109-1-psychiatric-community-003","對於急性期症狀穩定，將出院的精神病人，其出院護理計畫的內容，包括下列何者為宜？①教導壓力調適策略 ②建議可依症狀自行調藥 ③提供健康指導與諮詢 ④討論緩解藥物副作用的方法",3,109,{"webId":58,"stem":59,"number":60,"year":61,"session":28},"nurse-110-1-psychiatric-community-037","提供穩定之慢性思覺失調症病人至社區復健中心持續接受照護，是屬於下列何項預防概念？",37,110,"2026-09-04",1788510760466]