[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-114-3-psychiatric-community-011":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"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-011","nurse-114-3-psychiatric-community-011",114,3,11,"楊小姐，診斷第一型雙相情緒障礙症（bipolar I disorder），說話滔滔不絕有意念飛躍現象，情緒高亢，易怒不安，吃飯不專心，洗澡洗頭易分心，入睡困難，近日曾與陌生人發生性行為。下列何項是楊小姐之主要健康問題？①自我照顧能力缺失 ②潛在危險性對自我的暴力行為 ③思考過程改變 ④睡眠型態紊亂",{"A":14,"B":15,"C":16,"D":17},"①②③","②③④","①③④","①②④","C",null,[],"本題考點在於躁症發作病人的主要健康問題判斷。楊小姐意念飛躍、洗澡洗頭分心且吃飯不專心,顯示自我照顧能力缺失(①);思緒跳躍、注意力渙散反映思考過程改變(③);入睡困難則為睡眠型態紊亂(④),三者皆成立,故選 C(①③④)。②潛在危險性『對自我』的暴力行為並不切題——她與陌生人發生性行為屬衝動與判斷力受損的高風險行為,性質偏向對外衝動而非自傷,故不列入本題主要問題組合。","躁症護理診斷常見:營養失衡(無法坐定進食)、睡眠型態紊亂、自我照顧缺失、思考過程改變、對他人的暴力行為、有受傷危險。本題陷阱在區分『對自我暴力(self-directed violence,多見於憂鬱與自殺)』與『躁症的衝動高風險行為』,後者性質不同,故未納入。作答須逐一對照題幹具體事證。",[24,26,29,31],{"term":25,"count":10},"睡眠型態紊亂",{"term":27,"count":28},"第一型雙相情緒障礙症",1,{"term":30,"count":28},"躁症意念飛躍",{"term":32,"count":28},"自我照顧缺失",[34,38,44,49,54,59],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"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,{"webId":39,"stem":40,"number":41,"year":42,"session":43},"nurse-115-2-psychiatric-community-008","王小姐，診斷思覺失調症，主要症狀為被害妄想、多疑，難以與他人建立信任關係，下列那些符合環境治療的原則？①採取主動友善的態度，密集與其互動 ②注意環境並定時安檢，維護其他病人的安全 ③僅在必要時給予簡要的問候，不過度主動關心 ④暫時停止其所有的團體活動，以降低其妄想與多疑",8,115,2,{"webId":45,"stem":46,"number":47,"year":48,"session":28},"nurse-106-1-psychiatric-community-052","關於 Hancock 及 Duhl 所提出健康城市的十一項品質，下列何者錯誤？",52,106,{"webId":50,"stem":51,"number":52,"year":53,"session":43},"nurse-107-2-psychiatric-community-010","精神病人常因疾病關係導致功能退化、人際關係疏離，影響其生活適應力致重複住院，因此，有關護理師提供社交技巧訓練之敘述，下列何者正確？①結構化的練習活動 ②運用代幣制度增強其行為 ③在住院時勤加練習即可 ④重複指導及實況演練",10,107,{"webId":55,"stem":56,"number":57,"year":58,"session":28},"nurse-109-1-psychiatric-community-054","經過社區健康營造之後，某社區居民提升口腔癌與檳榔使用的認知，也願意改變以種植檳榔維生的方式。這是屬於何種評價？",54,109,{"webId":60,"stem":61,"number":41,"year":62,"session":43},"nurse-110-2-psychiatric-community-008","有關抗精神病藥物的敘述，下列何者藥理作用最能歸屬於「第二型及第三型多巴胺特別性接受器阻斷劑（specific D 2 \u002FD 3 antagonist）」？",110,"2026-09-04",1788510762782]