[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-114-3-psychiatric-community-022":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-022","nurse-114-3-psychiatric-community-022",114,3,22,"有關妄想症（delusional disorder），下列敘述何者最適當？",{"A":14,"B":15,"C":16,"D":17},"對人信任感不足較多疑","一定會出現幻覺","常使用內射機轉","生活功能顯著退化減損","A",null,[],"本題考點在於妄想症(delusional disorder)的臨床特徵。妄想症以單一或系統化的非怪異妄想為主,常見被害或嫉妒主題,個案因而對人多疑、信任感不足,故 A 最適當。B 錯,妄想症通常不伴明顯幻覺,若有也僅與妄想主題相關且不突出,並非「一定出現」;C 錯,常用的防衛機轉是投射(projection)而非內射(introjection);D 錯,妄想症除受妄想直接影響的範圍外,整體生活與職業功能大致維持,並無思覺失調症那種顯著全面退化。","妄想症與思覺失調症的鑑別重點:前者妄想「非怪異」(內容現實上可能發生,如被跟蹤、被背叛),功能保存相對良好,無明顯幻覺與情感平淡;後者妄想常怪異、伴幻覺與功能全面退化。投射機轉是核心——個案把自身不被接受的衝動歸咎於外界,形成被害或嫉妒妄想。建立關係時不爭辯妄想真偽,先接納感受再協助現實檢驗。",[24,26,29,31],{"term":25,"count":10},"與思覺失調症鑑別",{"term":27,"count":28},"非怪異妄想",2,{"term":30,"count":28},"投射防衛機轉",{"term":32,"count":33},"妄想症診斷特徵",1,[35,39,44,49,54,59],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-114-3-psychiatric-community-023","李先生，診斷思覺失調症（schizophrenia），初住院期間頻找女病友聊天，聲稱自己是木星上的王子降落地球，病房中的女病友皆是他的嬪妃。下列何項護理措施最適當？",23,{"webId":40,"stem":41,"number":42,"year":43,"session":28},"nurse-115-2-psychiatric-community-019","小新，診斷自閉症類群障礙，從小就喜歡一個人自己玩，不理人，不太喜歡別人碰觸，不看人，有幾次過馬路當媽媽要帶小新快速通過斑馬線時，小新會尖叫，掙開媽媽，如果出門回家走不同路線，小新也會大吵大鬧，去公園遊樂場最喜歡坐在鞦韆上自我旋轉將鞦韆鍊條扭緊再放開。下列敘述何者正確？",19,115,{"webId":45,"stem":46,"number":47,"year":48,"session":33},"nurse-106-1-psychiatric-community-063","家庭護理最終的目標，下列何者正確？",63,106,{"webId":50,"stem":51,"number":52,"year":53,"session":28},"nurse-107-2-psychiatric-community-021","蔡女士，60 歲，罹患思覺失調症（昔稱精神分裂症）已 30 年，自我照顧能力明顯退化，日間常因來不及如廁而尿濕褲子，下列護理措施何者最適當？",21,107,{"webId":55,"stem":56,"number":57,"year":58,"session":33},"nurse-109-1-psychiatric-community-065","下列何種措施最有助於降低病態建築症候群（sick building syndrome, SBS）的發生？",65,109,{"webId":60,"stem":61,"number":42,"year":62,"session":28},"nurse-110-2-psychiatric-community-019","沈女士為慢性精神病病人，平日都可依醫囑按時服用抗精神病藥物，但情緒仍常受幻聽干擾而時有波動，護理師提供的護理措施，下列何者錯誤？",110,"2026-09-04",1788510762893]