[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-114-3-psychiatric-community-009":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":10},"nurse-114-3-精神科與社區衛生護理學-009","nurse-114-3-psychiatric-community-009",114,3,9,"有關創傷後壓力症（posttraumatic stress disorder），下列敘述何者最不適當？",{"A":14,"B":15,"C":16,"D":17},"親身目擊事件者可能也是受創者","會出現解離、記憶重現等反應","努力逃避與創傷事件相關的痛苦記憶","不會影響社交、職業或其他重要領域的功能","D",null,[],"本題考點在於創傷後壓力症(PTSD)的臨床特徵,屬反向題,須挑出最不適當者。錯誤敘述為 D:PTSD 會顯著影響社交、職業或其他重要領域功能,說『不會影響』與診斷準則相悖。A 正確,親身目擊他人受創者也可能成為受創者;B 正確,會出現解離、記憶重現(flashback)、惡夢等再經驗症狀;C 正確,持續努力逃避與創傷相關的人事物與痛苦記憶,屬逃避症狀群。","PTSD 四大症狀群:再經驗(flashback、惡夢、侵入性回憶)、逃避(避開相關線索)、認知與情緒負向改變、過度警覺(易受驚、失眠、易怒)。症狀須持續超過一個月且造成功能損害;若在一個月內即為急性壓力症(ASD)。功能損害是精神疾病診斷的共同要件,故 D 明顯錯誤。",[24,26,29,32],{"term":25,"count":10},"創傷後壓力症 PTSD",{"term":27,"count":28},"急性壓力症鑑別",2,{"term":30,"count":31},"再經驗與逃避症狀",1,{"term":33,"count":31},"功能損害為診斷要件",[35,39,44,49,54,59],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-114-3-psychiatric-community-010","有關解離性失憶症（dissociative amnesia）的護理措施，下列何者最適當？",10,{"webId":40,"stem":41,"number":42,"year":43,"session":28},"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":45,"stem":46,"number":47,"year":48,"session":31},"nurse-106-1-psychiatric-community-050","在訂定社區健康計畫之目標時，下列那一種最容易被評值？",50,106,{"webId":50,"stem":51,"number":52,"year":53,"session":28},"nurse-107-2-psychiatric-community-008","有關病人出現的臨床精神症狀敘述，下列何者最適當？",8,107,{"webId":55,"stem":56,"number":57,"year":58,"session":31},"nurse-109-1-psychiatric-community-052","護理師參加社區所舉辦的「重陽節敬老健走」活動，以了解社區老人的健康體能狀況，此為何種社區評估方法？",52,109,{"webId":60,"stem":61,"number":42,"year":62,"session":28},"nurse-110-2-psychiatric-community-006","下列何者為貝克（Beck）認知學說的主要論述？",110,"2026-09-04",1788510762768]