[{"data":1,"prerenderedAt":46},["ShallowReactive",2],{"q-nurse-112-2-psychiatric-community-004":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-112-2-精神科與社區衛生護理學-004","nurse-112-2-psychiatric-community-004",112,2,4,"有關鋰鹽的敘述，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"每日治療劑量之鋰鹽，建議分成 2～3 次服用","藥物主要由肝臟代謝，服藥階段須注意病人肝功能","急性躁期的血中藥物濃度建議維持在 0.6～1.0 mEq\u002FL","濃度超過 4 mEq\u002FL，須停藥與補充水分，但不建議透析治療","A",null,[],"本題考點是鋰鹽(lithium)的用藥知識。鋰鹽半衰期短且腸胃刺激明顯,每日治療劑量建議分成 2 至 3 次隨餐服用以減少副作用並維持穩定血中濃度,故選 A。鋰鹽主要經腎臟排除而非肝臟代謝,監測重點在腎功能與電解質(尤其鈉),B 錯。急性躁症期治療血中濃度需維持在較高的約 0.8 至 1.2 mEq\u002FL,選項所述 0.6 至 1.0 是維持期範圍,C 錯。血中濃度過高的嚴重鋰鹽中毒需停藥、補液,必要時進行血液透析移除鋰離子,D 敘述錯誤。",1,[24,28,31,35,38,42],{"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":11,"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？",{"webId":39,"stem":40,"number":41,"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":43,"stem":44,"number":45,"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",6,1783840787747]