[{"data":1,"prerenderedAt":46},["ShallowReactive",2],{"q-nurse-107-2-psychiatric-community-005":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":23},"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,"freq":22},"nurse-107-2-精神科與社區衛生護理學-005","nurse-107-2-psychiatric-community-005",107,2,5,"羅太太為酒精物質使用障礙症，終日飲酒，住院後出現戒斷症狀，有交感神經興奮症狀，並已出現肝硬化之系統性合併症，下列說明何者正確？",{"A":14,"B":15,"C":16,"D":17},"羅太太的戒斷症狀是因為突然停酒的關係，因此應提供微量酒精以緩解戒斷症狀","羅太太的酒精戒斷和正腎上腺素的增加都會增加鎂離子的濃度，會增加交感神經的活動","酒精戒斷時會提高 GABA 的抑制功能，降低多巴胺的活性","羅太太出現酒精性幻覺，多為嗅幻覺","B",null,[],"本題考點在於酒精戒斷的神經生理與臨床辨識。答案為 B,但需說明:A、C、D 三項可明確判定錯誤——A 提供微量酒精緩解戒斷是錯誤做法,戒斷應以支持性藥物(如 benzodiazepine)處置;C 酒精戒斷時 GABA 抑制功能是「下降」而非提高,故中樞呈過度興奮;D 酒精性幻覺以視幻覺或聽幻覺為主,而非嗅幻覺。由排除法選 B。惟 B 中「戒斷會增加鎂離子濃度」與臨床上酒精戒斷常見「低血鎂」的認知不符,此為題目選項本身的敘述瑕疵,故把握度標低,不就該細節強加機轉。",1,[24,28,31,35,39,42],{"webId":25,"stem":26,"number":22,"year":27,"session":22},"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":29,"stem":30,"number":10,"year":27,"session":22},"nurse-106-1-psychiatric-community-002","護理師在精神科病房帶領團體治療，病友在團體中感謝其他病人對他的接納與信任，分享他從團體中體驗到人與人之間是可以相互信賴，此活動運用下列何項精神護理概念模式？",{"webId":32,"stem":33,"number":34,"year":27,"session":22},"nurse-106-1-psychiatric-community-003","一位從小被父親性侵至大學的 20 歲女大學生，因出現自傷行為而住院。主護護理師與之會談，談及家庭時，認為爸爸是愛她的，承認父親性侵她卻完全記不起來任何一次性侵的過程。但有時突然大哭時卻能詳細說出父親性侵她的過程。此種心理防衛機轉最有可能是下列何項？",3,{"webId":36,"stem":37,"number":38,"year":27,"session":22},"nurse-106-1-psychiatric-community-004","下列有關精神障礙病人的權利，何者正確？",4,{"webId":40,"stem":41,"number":11,"year":27,"session":22},"nurse-106-1-psychiatric-community-005","謝先生因思覺失調症（schizophrenia）住院，在許護理師上班時經常對她出現吵鬧、依賴或討好等行為，許護理師了解這是謝先生對自己的情感轉移，進而提供適當的護理措施，下列何者最不適宜？",{"webId":43,"stem":44,"number":45,"year":27,"session":22},"nurse-106-1-psychiatric-community-006","臨床上發現病人有問題行為而需進行行為治療時，護理師在評估病人的問題行為時，應主要觀察的內容，下列何項正確？①在何種情況下（行為前情境）②病人出現何種行為 ③家人的感受 ④行為之後產生什麼結果",6,1783840752320]