[{"data":1,"prerenderedAt":47},["ShallowReactive",2],{"q-nurse-109-1-psychiatric-community-028":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-028","nurse-109-1-psychiatric-community-028",109,1,28,"下列何種神經傳導物質的變化最能說明引發焦慮症病人焦慮症狀的生理機制？",{"A":14,"B":15,"C":16,"D":17},"正腎上腺素（norepinephrine）分泌濃度過高","γ-胺基丁酸（γ-aminobutyric acid, GABA）分泌濃度過高","醣皮質素（glucocorticoid）分泌濃度過低","乙醯膽鹼（acetylcholine, ACh）分泌濃度過低","A",null,[],"本題考點在於焦慮症的神經傳導物質生理機制。依焦慮的神經生化學說,正腎上腺素(norepinephrine)分泌過高會使交感神經與藍斑核過度活化,引發心悸、顫抖、警覺升高等焦慮症狀,故選A。B錯,GABA是抑制性傳導物質,濃度過低才使抑制不足、興奮性增加而焦慮,過高反而抗焦慮。C錯,焦慮壓力下醣皮質素(皮質醇)通常分泌增加而非過低(HPA軸活化)。D錯,乙醯膽鹼變化主要與記憶認知相關,非焦慮症狀主要機制。焦慮關鍵在正腎上腺素亢進與GABA不足,唯A正確。",[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",6,1783840748766]