[{"data":1,"prerenderedAt":47},["ShallowReactive",2],{"q-nurse-112-3-psychiatric-community-011":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-011","nurse-112-3-psychiatric-community-011",112,3,11,"病人主要服用的精神科藥物為 clozapine（Clozaril ® ），下列敘述何者正確？",{"A":14,"B":15,"C":16,"D":17},"此藥最常見嚴重致命副作用是史蒂文強森症候群（Steven-Johnson syndrome）","用藥後，病人血糖會下降","病人停藥後，可立即停止抽血監測血球數","評估病人白血球下降的症狀","D",null,[],"本題考點在於非典型抗精神病藥 clozapine（Clozaril）的重大副作用監測。clozapine 最嚴重的副作用是顆粒性白血球缺乏症（agranulocytosis），會使白血球下降、感染風險大增，故必須定期抽血監測血球並評估白血球下降相關症狀，D 正確。A 錯在其最嚴重致命副作用是顆粒性白血球缺乏，而非史蒂文強森症候群；B 錯在 clozapine 常引起代謝異常，血糖多『上升』而非下降；C 錯在停藥後仍須依規範持續監測血球一段時間，不能立即停止抽血，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",6,1783840788664]