[{"data":1,"prerenderedAt":47},["ShallowReactive",2],{"q-nurse-113-1-psychiatric-community-015":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-113-1-精神科與社區衛生護理學-015","nurse-113-1-psychiatric-community-015",113,1,15,"有關美沙冬（methadone）的敘述，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"不會有呼吸抑制、欣快感和戒斷症狀","成癮性比海洛因低，戒斷症狀也比海洛因輕微","是一種替代療法，其治療主要是心理安撫作用","病人需終身服用","B",null,[],"本題考點在於美沙冬替代療法的藥理特性。美沙冬是合成的長效 μ 鴉片受體致效劑,依替代療法原理,以口服、長效、可控劑量的美沙冬取代靜脈注射海洛因;其成癮性較海洛因低、戒斷症狀出現較慢也較輕微,故 B 正確。A 錯誤,美沙冬仍是鴉片類藥物,過量同樣會呼吸抑制,也有欣快感與戒斷症狀,只是程度與速度不同;C 錯誤,替代療法是真實的藥理作用(佔據鴉片受體、緩解戒斷、降低渴求),並非心理安撫的安慰劑效應;D 錯誤,美沙冬治療會依個案穩定度逐步減量,目標是最終脫離,並非一律終身服用。",[23,27,31,35,39,43],{"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":42,"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？",5,{"webId":44,"stem":45,"number":46,"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",6,1783840789296]