[{"data":1,"prerenderedAt":47},["ShallowReactive",2],{"q-nurse-112-3-psychiatric-community-009":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-112-3-精神科與社區衛生護理學-009","nurse-112-3-psychiatric-community-009",112,3,9,"有關電氣痙攣療法（ECT）的敘述，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"治療時採用 150～300 伏特電流通過腦部 1 分鐘引發痙攣","通常是先產生陣發性痙攣，而後才出現強直性痙攣","用在雙相情緒障礙症急性躁期的病人，療效最佳","單側式 ECT，通常將電極片放在非優勢大腦的額顳交接處代號： 5101 頁次： 4－2","D",null,[],"本題考點在於電氣痙攣療法（ECT）的正確操作與電極擺放。單側式 ECT 通常將電極片放在『非優勢』大腦半球的額顳交接處，以減少對記憶與認知功能的影響，故 D 正確。A 錯在電流時間，ECT 是以短暫（約數秒）電刺激誘發痙攣，而非持續 1 分鐘；B 錯在痙攣順序，誘發後應先出現強直期（tonic）再進入陣攣期（clonic），而非先陣發後強直；C 錯在適應症，ECT 療效最佳的是重度或難治性、伴自殺或拒食的憂鬱症，而非首選用於躁期，故正解為 D。",1,[24,28,32,35,39,43],{"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":31,"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？",2,{"webId":33,"stem":34,"number":10,"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？",{"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",6,1783840788641]