[{"data":1,"prerenderedAt":47},["ShallowReactive",2],{"q-nurse-109-1-psychiatric-community-013":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":22},"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":10},"nurse-109-1-精神科與社區衛生護理學-013","nurse-109-1-psychiatric-community-013",109,1,13,"有關鋰鹽 Lithium（Lidin®），下列何項敘述最適切？",{"A":14,"B":15,"C":16,"D":17},"躁症急性期治療濃度建議是 2.0～2.5 mEq\u002FL","有效濃度與中毒濃度很接近，若病人忘記服藥時，建議隔天一次補服未服劑量","最佳測量濃度是服藥後的 2～4 小時以內","服藥後半小時到 2 小時，血清濃度達最高峰，此時較易產生中毒症狀","D",null,[],"本題考點在於鋰鹽(Lithium)的藥理與血中濃度監測。依鋰鹽藥動學,口服後約半小時至2小時血清濃度達最高峰,此高峰期最易出現中毒症狀,故選D。A錯,躁症急性期治療濃度約0.8–1.2 mEq\u002FL,而2.0–2.5 mEq\u002FL已達重度中毒範圍。B錯,治療濃度與中毒濃度雖接近(治療指數窄),但漏服時絕不可隔天補服兩倍劑量,以免濃度驟升中毒,應跳過漏服劑量。C錯,標準採血是服藥後12小時的血中低點(trough)而非2–4小時,過早採血會高估濃度。唯D正確描述吸收高峰與中毒風險。",[23,27,31,35,39,43],{"webId":24,"stem":25,"number":10,"year":26,"session":10},"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":28,"stem":29,"number":30,"year":26,"session":10},"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？",2,{"webId":32,"stem":33,"number":34,"year":26,"session":10},"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":26,"session":10},"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":42,"year":26,"session":10},"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？",5,{"webId":44,"stem":45,"number":46,"year":26,"session":10},"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",6,1783840748630]