[{"data":1,"prerenderedAt":46},["ShallowReactive",2],{"q-nurse-111-2-psychiatric-community-006":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-111-2-精神科與社區衛生護理學-006","nurse-111-2-psychiatric-community-006",111,2,6,"有關抗精神病藥物的副作用，下列敘述何者最適當？",{"A":14,"B":15,"C":16,"D":17},"可能引起血壓下降，病人臥姿改為立姿動作應緩慢及注意安全","靜坐不能副作用主要發生在服用抗精神病藥物達兩年以上的病人","服用第一代抗精神病藥物較第二代抗精神病藥物容易發生代謝症候群","若發生類巴金森氏症的錐體外徑症候群副作用，應立即停藥觀察","A",null,[],"本題考點為抗精神病藥物的副作用與處置。抗精神病藥物具阻斷交感神經 α 受體作用,易引起姿勢性低血壓,故 A 敘述「可能引起血壓下降,由臥姿改立姿動作應緩慢並注意安全」正確,為答案。B 錯在靜坐不能(akathisia)屬急性錐體外徑副作用,多在用藥早期數天至數週出現,而非服藥兩年以上;C 錯在代謝症候群(體重增加、血糖血脂異常)較常見於第二代(非典型)抗精神病藥物,而非第一代;D 錯在出現類巴金森氏症的錐體外徑症候群時,處置應調整劑量或給予抗膽鹼藥物,不宜貿然「立即停藥」。考點在於辨識姿勢性低血壓的正確衛教及釐清各副作用的發生時機與藥物世代差異。",1,[24,28,31,35,39,43],{"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":42,"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？",5,{"webId":44,"stem":45,"number":11,"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",1783840786137]