[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-115-2-maternal-pediatric-026":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":35,"lastmod":65},"產兒科護理學","maternal-pediatric",{"id":7,"webId":8,"year":9,"session":10,"subject":4,"number":11,"stem":12,"options":13,"answer":18,"answerNote":19,"images":20,"explanation":21,"explanationDeep":22,"topics":23,"freq":26},"nurse-115-2-產兒科護理學-026","nurse-115-2-maternal-pediatric-026",115,2,26,"有關兒童及青少年憂鬱症的飲食治療建議，下列敘述何者最適當？",{"A":14,"B":15,"C":16,"D":17},"全穀類食物可提升血清素，穩定情緒","飲食中應避免深海魚油，可能加重情緒不穩定","避免牛奶與火雞肉，容易造成情緒上的波動","蔬菜油含低量的丙亞麻酸，能減少情緒波動","A",null,[],"本題考點在於情緒障礙與神經傳導物質的營養學連結。血清素以色胺酸為前驅物,而全穀類屬複合碳水化合物,可促使胰島素分泌、讓分支鏈胺基酸進入肌肉,提高色胺酸跨越血腦障壁的比例,故有助血清素合成與情緒穩定,選 A。B 錯在深海魚油富含 omega-3 脂肪酸(EPA、DHA),對憂鬱情緒屬正向的營養輔助,並非該避免的食物。C 錯在牛奶與火雞肉正是色胺酸含量高的代表食物,敘述方向與事實完全相反。D 錯在蔬菜油如亞麻籽油、芥花油含的是較高量的 α-次亞麻油酸(丙亞麻酸),敘述的「低量」不符事實。","延伸機轉:色胺酸先經色胺酸羥化酶轉成 5-HTP,再脫羧成血清素,過程需維生素 B6、葉酸、鎂等輔因子,因此單靠某一種食物不足以改善情緒,營養治療是藥物與心理治療的輔助而非替代。omega-3 的作用點在神經細胞膜磷脂質流動性與抗發炎途徑,與血清素路徑不同,兩條路徑常一起出現在考題中。考點設計邏輯:命題者要考生辨識「哪些是色胺酸食物」與「哪些是必需脂肪酸」的基本歸類,錯項刻意把正向食物寫成禁忌。記憶口訣:全穀、牛奶、火雞肉都是助好心情的色胺酸家族,魚油幫忙不必忌。可連結概念:SSRI 抗憂鬱劑的作用機轉、地中海飲食與情緒研究、必需脂肪酸 α-次亞麻油酸與亞麻油酸的分類。",[24,27,29,31,33],{"term":25,"count":26},"色胺酸與血清素合成",1,{"term":28,"count":26},"複合碳水化合物與胰島素",{"term":30,"count":26},"omega-3 脂肪酸",{"term":32,"count":26},"α-次亞麻油酸",{"term":34,"count":26},"兒童青少年憂鬱症營養照護",[36,40,45,50,55,60],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-115-2-maternal-pediatric-027","有關兒童誤食毒物的處理，下列何者最不適當？",27,{"webId":41,"stem":42,"number":43,"year":44,"session":26},"nurse-106-1-maternal-pediatric-073","王小弟，9 歲，將進行腸道手術前的清潔灌腸（cleansing enema），下列護理技術之執行，何者正確？",73,106,{"webId":46,"stem":47,"number":48,"year":49,"session":26},"nurse-107-1-maternal-pediatric-007","有關拉梅茲生產預備與訓練之原理，下列何者錯誤？",7,107,{"webId":51,"stem":52,"number":53,"year":54,"session":26},"nurse-108-1-maternal-pediatric-045","有關川崎氏症（Kawasaki Disease）的敘述，下列何者錯誤？",45,108,{"webId":56,"stem":57,"number":58,"year":59,"session":10},"nurse-109-2-maternal-pediatric-009","罹患妊娠糖尿病婦女，努力控制飲食，讓飯後血糖值在正常範圍，此為魯賓（Rubin）所提出何種母性任務行為？",9,109,{"webId":61,"stem":62,"number":63,"year":64,"session":10},"nurse-110-2-maternal-pediatric-043","小剛，12 歲，國小六年級，因最近走路經常偏斜、跌倒，情緒變得暴躁，且經常遺忘事情而入院，經醫師檢查後，診斷為惡性腦瘤，母親情緒低落的說：「怎麼會這樣呢？小剛這麼乖，為什麼要讓他受這麼多折磨，我到底做錯了什麼？」，護理師最適當的處理為何？",43,110,"2026-08-06",1787299007148]