[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-115-2-psychiatric-community-012":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":36,"lastmod":65},"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,"explanationDeep":22,"topics":23,"freq":26},"nurse-115-2-精神科與社區衛生護理學-012","nurse-115-2-psychiatric-community-012",115,2,12,"有關雙相情緒障礙症的治療，下列何者最適當？",{"A":14,"B":15,"C":16,"D":17},"鋰鹽治療血中濃度須達 2.0 mEq\u002FL 以上，才能發揮作用","電氣痙攣療法治療躁症病人，至少每天施行 1 次","抗精神病藥物不會用於急性躁症發作","心理治療有助於病人壓力因應，預防再發作","D",null,[],"本題考點為雙相情緒障礙症的治療原則。除藥物穩定情緒外,心理治療能協助病人辨識壓力源與復發前兆、學習壓力因應技巧並提升服藥遵從性,有助於預防再發作,故D正確。A錯在鋰鹽治療血中濃度約維持0.6–1.2 mEq\u002FL,達2.0 mEq\u002FL已屬中毒濃度,會出現粗大震顫、意識障礙、抽搐等毒性反應,而非治療所需。B錯在ECT一般每週施行2至3次,並非每天至少施行1次。C錯在急性躁症發作時,抗精神病藥物(如olanzapine、haloperidol)常用於快速控制激躁與精神病症狀,並非不會使用。","鋰鹽是精神科藥物監測的招牌考點:治療濃度0.6–1.2 mEq\u002FL(急性期可至上限),超過1.5即現中毒徵象(噁心、腹瀉、細震顫轉粗震顫),2.0以上可致意識混亂、抽搐,需注意鋰鹽治療指數窄、由腎臟排除,低鈉、脫水、利尿劑併用都會使血中濃度升高,故衛教重點是維持穩定的鈉鹽與水分攝取。急性躁症的用藥組合常是「情緒穩定劑+抗精神病藥±BZD」,快速鎮靜靠後兩者,長期防復發靠前者;心理治療(心理衛教、人際與社會節律治療)則補足藥物做不到的部分:規律作息、辨識前兆、維持遵從性。",[24,27,29,32,34],{"term":25,"count":26},"鋰鹽治療濃度",3,{"term":28,"count":10},"鋰鹽中毒",{"term":30,"count":31},"ECT施行頻率",1,{"term":33,"count":31},"急性躁症用藥",{"term":35,"count":31},"心理治療",[37,41,46,50,55,60],{"webId":38,"stem":39,"number":40,"year":9,"session":10},"nurse-115-2-psychiatric-community-013","小蕙，21 歲，因嚴重幻聽和混亂行為，被診斷思覺失調症。有關影響疾病預後較好的因素，下列何者最適當？",13,{"webId":42,"stem":43,"number":44,"year":45,"session":31},"nurse-106-1-psychiatric-community-059","下列何者不屬於物理性公害？",59,106,{"webId":47,"stem":48,"number":49,"year":45,"session":10},"nurse-106-2-psychiatric-community-073","某工廠員工人數共 238 人，其中從事特別危害健康作業人數為 126 人，依據勞工健康保護規則，該工廠需聘任專任護理師多少人？",73,{"webId":51,"stem":52,"number":53,"year":54,"session":10},"nurse-108-2-psychiatric-community-031","厭食症與暴食症個案常有認知扭曲，下列敘述何者不是認知扭曲？",31,108,{"webId":56,"stem":57,"number":58,"year":59,"session":10},"nurse-109-2-psychiatric-community-075","高齡社會（aged society）是指 65 歲以上人口比率為何？",75,109,{"webId":61,"stem":62,"number":63,"year":64,"session":31},"nurse-111-1-psychiatric-community-029","有關於精神疾病診斷準則手冊（Diagnostic and statistical manual of mental disorders, DSM-5）對於「認知障礙症」診斷準則之敘述，下列何者正確？",29,111,"2026-08-06",1787299016872]