[{"data":1,"prerenderedAt":47},["ShallowReactive",2],{"q-nurse-111-1-psychiatric-community-038":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-111-1-精神科與社區衛生護理學-038","nurse-111-1-psychiatric-community-038",111,1,38,"王小姐，45 歲，體重適中，是居住在社區的思覺失調症病人，因服用抗精神病藥物 clozapine，之後發現有代謝症候群。下列敘述何者最適當？",{"A":14,"B":15,"C":16,"D":17},"clozapine 出現代謝症候群的症狀，包括嚴重流口水、白血球缺乏等","立即停藥是控制代謝症候群的最好策略","應先釐清代謝症候群是遺傳性或非遺傳性","先測量病人的尿酸做為基準值，有利後續持續追蹤","C",null,[],"本題考點在 clozapine 引發代謝症候群的處置態度。依用藥安全與個別化評估原則，發現代謝症候群後應先釐清其為遺傳性（家族史、既有體質）或非遺傳性（藥物所致），以利後續處置決策，故選 C。考點在於辨識『先評估病因再處置』。A 敘述將『嚴重流口水、白血球缺乏』歸為代謝症候群症狀，實則流涎與顆粒性白血球缺乏是 clozapine 其他副作用，非代謝症候群範疇，故錯；B 立即停藥並非最佳策略，思覺失調症穩定控制重要，應以生活型態與監測管理，貿然停藥恐復發；D 代謝症候群監測指標為血糖、血脂、腰圍、血壓，而非尿酸，故錯。故選 C。",[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",6,1783840785689]