[{"data":1,"prerenderedAt":73},["ShallowReactive",2],{"q-nurse-108-1-psychiatric-community-007":3},{"subject":4,"prev":5,"next":8,"subjectSlug":11,"subjectFullName":4,"question":12,"related":45,"lastmod":72},"精神科與社區衛生護理學",{"webId":6,"number":7},"nurse-108-1-psychiatric-community-006",6,{"webId":9,"number":10},"nurse-108-1-psychiatric-community-008",8,"psychiatric-community",{"id":13,"webId":14,"year":15,"session":16,"subject":4,"number":17,"stem":18,"scenario":19,"carryOver":19,"options":20,"answer":25,"answerNote":19,"images":26,"explanation":27,"explanationDeep":28,"topics":29,"freq":32,"concepts":41},"nurse-108-1-精神科與社區衛生護理學-007","nurse-108-1-psychiatric-community-007",108,1,7,"何先生因準備進行電氣痙攣療法（electroconvulsive therapy, ECT）而顯焦慮，護理師和其討論並提供相關護理指導，下列何者正確？①治療後有暫時的記憶力喪失　②治療前要先拿下活動假牙　③治療前會給予注射 Demerol 藥物　④治療清醒後可照常參與病房活動",null,{"A":21,"B":22,"C":23,"D":24},"①②③","①②④","①③④","②③④","B",[],"本題考點是電氣痙攣療法(ECT)的護理指導內容。依 ECT 標準流程,通電引發的全身痙攣會影響海馬迴功能,治療後常見暫時性的近期記憶喪失與定向感混亂,數週內多可回復(①正確);治療前須取下活動假牙、眼鏡與飾物並置入牙墊,以免通電抽搐時造成吸入或口腔損傷(②正確);清醒且生命徵象穩定、定向感恢復後即可回復病房作息(④正確),故選 B。③錯在給藥種類,ECT 麻醉前給予的是抗膽鹼藥物(如 Atropine)以減少分泌物、短效靜脈麻醉劑與肌肉鬆弛劑 Succinylcholine 以減輕抽搐強度,而 Demerol 屬於鴉片類止痛劑,並非 ECT 的常規用藥。","ECT 的作用機轉目前認為與誘發癲癇發作後單胺類神經傳導物質與神經滋養因子的變化有關,主要適應症是嚴重憂鬱症合併強烈自殺意念、拒食脫水、憂鬱性木僵,以及對藥物反應不佳或需快速起效者。護理重點可用三段記憶:治療前禁食至少 6 至 8 小時、排空膀胱、取下假牙眼鏡髮夾指甲油、簽署同意書並測量生命徵象;治療中維持呼吸道通暢與監測;治療後採側臥防吸入、密切觀察意識恢復、重複提供定向感訊息並陪伴至完全清醒。用藥速記為「A、S 加短效麻醉」:Atropine 減分泌物、Succinylcholine 減抽搐、短效麻醉劑減恐懼記憶。記憶喪失是最常被詢問的副作用,衛教重點在說明其為暫時性與可回復性。相關概念:憂鬱症的生物治療、癲癇閾值、經顱磁刺激(rTMS)作為非侵入替代。",[30,33,35,37,39],{"term":31,"count":32},"電氣痙攣療法 ECT",2,{"term":34,"count":16},"Succinylcholine 肌肉鬆弛劑",{"term":36,"count":16},"Atropine 抗膽鹼前置給藥",{"term":38,"count":16},"暫時性記憶喪失",{"term":40,"count":16},"ECT 治療前後護理",[42],{"id":43,"name":44},"mood-anxiolytic-drugs","抗憂鬱劑、情緒穩定劑、抗焦慮劑與電痙攣治療",[46,48,52,57,62,67],{"webId":9,"stem":47,"number":10,"year":15,"session":16},"精神科病房特別重視治療性環境之營造，有關環境治療之原則，下列何者正確？①設施兼具人性化與家庭化　②活動設計宜達整體一致性　③讓病人有機會參與環境的決策　④工作人員成為病人的角色模範",{"webId":49,"stem":50,"number":51,"year":15,"session":32},"nurse-108-2-psychiatric-community-024","呂小姐，42 歲，入院 4 週，預計下週出院，今天與護理師會談時提到自己的幻聽已改善很多，雖然仍會聽到一些聲音，不過內容已沒以前清楚，下列護理措施何者最適切？",24,{"webId":53,"stem":54,"number":55,"year":56,"session":16},"nurse-109-1-psychiatric-community-038","人際關係理論探討思覺失調症（Schizophrenia）的病因，其指出思覺失調症病人早年大部分經歷過痛苦的親子關係，此為下列那位學者的觀點？",38,109,{"webId":58,"stem":59,"number":60,"year":61,"session":16},"nurse-110-1-psychiatric-community-076","下列那些是目前長期照顧十年計畫 2.0 的主要財源？①菸品健康福利捐 ②捐贈收入 ③長期照護保險費 ④全民健康保險費",76,110,{"webId":63,"stem":64,"number":65,"year":66,"session":32},"nurse-111-2-psychiatric-community-040","有關慢性精神病人四段七級健康促進模式的主要策略，下列何者正確？",40,111,{"webId":68,"stem":69,"number":70,"year":71,"session":32},"nurse-112-2-psychiatric-community-074","有關居家服務的敘述，下列何項錯誤？",74,112,"2026-09-29",1790672290560]