[{"data":1,"prerenderedAt":46},["ShallowReactive",2],{"q-nurse-112-1-psychiatric-community-005":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-112-1-精神科與社區衛生護理學-005","nurse-112-1-psychiatric-community-005",112,1,5,"有關精神疾病與神經傳導物質失調之因素假說，下列敘述何者正確？",{"A":14,"B":15,"C":16,"D":17},"思覺失調症負性症狀與多巴胺（dopamine）濃度過高有關","躁症發作與兒茶酚胺（catecholamine）過度分泌有關","憂鬱症與血清素（serotonin）分泌過高有關","焦慮症與 γ-氨基丁酸（γ-Aminobutyric acid, GABA）分泌過多有關","B",null,[],"本題考點在於精神疾病的神經傳導物質失調假說。依單胺假說，躁症發作與正腎上腺素、多巴胺等兒茶酚胺(catecholamine)過度分泌或活性過高有關，故 B 正確。A 錯在思覺失調症「負性」症狀多與多巴胺不足(尤其中皮質路徑)相關，多巴胺過高對應的是正性症狀。C 錯在憂鬱症是血清素(serotonin)「不足」而非過高，抗憂鬱劑正是提升血清素。D 錯在焦慮症與 GABA「分泌不足」有關，GABA 為抑制性傳導物質，濃度不足才使中樞過度興奮而焦慮。",[23,27,31,35,39,42],{"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":11,"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？",{"webId":43,"stem":44,"number":45,"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",6,1783840786932]