[{"data":1,"prerenderedAt":47},["ShallowReactive",2],{"q-nurse-111-2-psychiatric-community-032":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-032","nurse-111-2-psychiatric-community-032",111,2,32,"有關老年精神病人的藥物治療，下列敘述何者最適當？",{"A":14,"B":15,"C":16,"D":17},"第二代抗精神病藥物較第一代藥物不會引發老年人的錐體外徑症候群","使用三環抗憂鬱劑治療老人憂鬱症，較不會出現心血管方面的副作用","情緒穩定劑有嚴重的副作用，不建議老年躁症病人使用","老年病人使用抗精神病藥物，應從高劑量開始，以增加藥物療效","A",null,[],"本題考點是老年精神病人的藥物治療原則。依抗精神病藥物藥理分類,第二代(非典型)抗精神病藥物對多巴胺 D2 受體的阻斷較弱並兼具血清素 5-HT2A 拮抗作用,引發錐體外徑症候群(EPS)的風險低於第一代藥物,對 EPS 敏感的老年人相對安全,故 A 正確。B 錯在三環抗憂鬱劑(TCA)具抗膽鹼作用與心臟毒性,易致姿勢性低血壓、心律不整,老年人心血管副作用風險反而高。C 錯在情緒穩定劑(如鋰鹽)老年躁症病人仍可使用,僅需降低劑量並密切監測血中濃度,並非不建議使用。D 錯在老年人藥物代謝與排除功能下降,給藥原則是「低劑量開始、緩慢調升(start low, go slow)」,從高劑量開始會增加中毒風險。",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":46,"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",6,1783840786417]