[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-114-2-psychiatric-community-016":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-114-2-精神科與社區衛生護理學-016","nurse-114-2-psychiatric-community-016",114,2,16,"李同學對於成績表現非常在意，在考試時手能握筆但突然無法寫字，被送來急診，經神經內科檢查手部功能正常，李同學的臨床表徵最符合下列何項診斷？",{"A":14,"B":15,"C":16,"D":17},"轉化症（功能性神經症狀障礙症）","罹病焦慮症","身體症狀障礙症","自我感障礙症","A",null,[],"本題考點在於轉化症（conversion disorder，功能性神經症狀障礙症）的鑑別診斷。個案因在意成績而在考試時突發無法寫字，但神經內科檢查手部功能正常——即「神經症狀無法以醫學病理解釋、且與心理壓力事件有時間相關」，最符合轉化症，故 A 正確為答案。B 罹病焦慮症的核心是「過度擔心自己罹患重病」，非出現實際功能缺損；C 身體症狀障礙症強調對身體症狀過度的想法與情緒困擾，且症狀通常較廣泛持續，而非單一突發的神經功能喪失；D 自我感障礙症表現為對自我或環境的不真實、疏離感，屬解離症狀，與運動功能喪失不符。關鍵在「壓力誘發、檢查正常的神經功能缺損」。","轉化症機轉：潛意識心理衝突轉化為身體（多為運動或感覺）症狀，症狀非刻意偽裝（與詐病、人為障礙症不同）。常見『泰然漠視（la belle indifférence）』——對明顯功能缺損顯得異常平靜。診斷關鍵：神經學檢查與症狀不一致，且症狀與心理壓力事件有關聯。",[24,27,29,32],{"term":25,"count":26},"轉化症",3,{"term":28,"count":10},"泰然漠視",{"term":30,"count":31},"功能性神經症狀障礙症",1,{"term":33,"count":31},"壓力誘發",[35,39,44,49,54,59],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-114-2-psychiatric-community-017","承上題，對於李同學應採取的護理措施，下列何者最適當？",17,{"webId":40,"stem":41,"number":42,"year":43,"session":31},"nurse-115-1-psychiatric-community-013","​林 先生，躁症發作（manic episode）住院，在病房客廳對著病友們滔滔不絕的批判醫護人員、醫院設施，並表示要投訴媒體。下列何項最適宜此時護理處置？",13,115,{"webId":45,"stem":46,"number":47,"year":48,"session":31},"nurse-106-1-psychiatric-community-007","會談中護理師說：「你有什麼事想告訴我？」「我們從那兒談起？」這屬於治療性溝通中的何種技巧？",7,106,{"webId":50,"stem":51,"number":52,"year":53,"session":31},"nurse-107-1-psychiatric-community-045","布氏指數（Breteau Index）是病媒蚊幼蟲調查指數之一，是以何種單位計算有病媒蚊幼蟲陽性之容器總數？",45,107,{"webId":55,"stem":56,"number":57,"year":58,"session":31},"nurse-109-1-psychiatric-community-009","陳護理師與李先生進行支持性心理治療，每次討論到工作挫折時，李先生總是表示不想討論，護理師再次引導李先生表達，病人就表示要停止會談。李先生呈現的是下列何種行為？",9,109,{"webId":60,"stem":61,"number":62,"year":63,"session":31},"nurse-110-1-psychiatric-community-043","王太太，49 歲，無抽菸與嚼檳榔史，未曾做過任何篩檢，依據全民健保預防保健服務範圍，她可接受那些篩檢項目？①成人預防保健「健康加值方案」 ②子宮頸癌篩檢 ③乳癌篩檢 ④大腸癌篩檢 ⑤口腔癌篩檢",43,110,"2026-09-04",1788510760537]