[{"data":1,"prerenderedAt":62},["ShallowReactive",2],{"q-nurse-106-1-psychiatric-community-013":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":32,"lastmod":61},"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":10},"nurse-106-1-精神科與社區衛生護理學-013","nurse-106-1-psychiatric-community-013",106,1,13,"有關選擇性血清素回收抑制劑（selective serotonin reuptake inhibitors, SSRIs），如：fluoxetine （ Prozac）、 sertraline（Zoloft）等藥物之陳述，下列何項正確？①用於治療憂鬱症疾患 ②建議早飯後服用 ③常見噁心、睡眠障礙等副作用 ④抑制突觸後神經細胞對血清素之回收",{"A":14,"B":15,"C":16,"D":17},"①②③","①②④","①③④","②③④","A",null,[],"本題考點在SSRI的適應症、服藥時機、副作用與作用機轉。①SSRI是憂鬱症第一線用藥,正確;②易引起噁心等腸胃不適,建議早飯後服用可減少刺激並避免夜間失眠,正確;③常見副作用確為噁心、失眠等睡眠障礙,正確,故選A(①②③)。④的敘述錯在方向:SSRI是抑制「突觸前」神經細胞對血清素的再回收(reuptake),使血清素滯留於突觸間隙、延長作用,而非題目所寫的「抑制突觸後神經細胞對血清素之回收」;再回收發生在釋放端的突觸前膜,故④敘述有誤,凡含④的B、D皆可刪去。","SSRI=selective serotonin reuptake inhibitor,關鍵字『selective』與『reuptake』:選擇性阻斷突觸前膜上的血清素轉運體(SERT),讓血清素留在突觸間隙。抗憂鬱效果需 2–4 週才顯現(受體下調需時間),但噁心、失眠常在初期即出現,故衛教常提早飯後服用。記憶:『回收在前(突觸前),藥效在間(突觸間隙)』。此題四個敘述只有一個機轉方向被寫反,是典型的機轉陷阱題。",[24,26,28,30],{"term":25,"count":10},"選擇性血清素回收抑制劑",{"term":27,"count":10},"突觸前再回收機轉",{"term":29,"count":10},"SSRI副作用",{"term":31,"count":10},"抗憂鬱藥起效時間",[33,37,42,47,51,56],{"webId":34,"stem":35,"number":36,"year":9,"session":10},"nurse-106-1-psychiatric-community-014","護理師評值治療過程及目標的完成，並與病人分享彼此對關係結束的感覺，是屬於治療性人際關係過程中那一期的任務？",14,{"webId":38,"stem":39,"number":40,"year":9,"session":41},"nurse-106-2-psychiatric-community-030","承上題，護理師提供陳太太的護理措施中，下列何者最適當？①漸進引導回顧創傷過程 ②鼓勵陳太太面對現實，不要沉浸悲傷中 ③適時陪伴及傾聽 ④運用團體治療過程互相支持",30,2,{"webId":43,"stem":44,"number":45,"year":46,"session":10},"nurse-107-1-psychiatric-community-044","食用未煮熟雞蛋而導致腸道疾病，最常見之細菌為何？",44,107,{"webId":48,"stem":49,"number":41,"year":50,"session":10},"nurse-109-1-psychiatric-community-002","為慢性精神病患轉介至社區復健中心進行社區復健活動之訓練，關於該中心的服務對象之收案條件，下列何者正確？①符合精神科診斷 ②精神症狀穩定 ③具有復健動機及潛能 ④需安排中途之家者 ⑤需有家屬接送者 ⑥可主動服藥及規律門診追蹤者",109,{"webId":52,"stem":53,"number":54,"year":55,"session":10},"nurse-110-1-psychiatric-community-046","接種麻疹疫苗，是屬於下列何種傳染病防治原則？",46,110,{"webId":57,"stem":58,"number":59,"year":60,"session":10},"nurse-111-1-psychiatric-community-080","整合性篩檢是現階段政府推動重要的社區中老年防治計畫，下列何者正確？①肺癌、肝癌、乳癌、口腔癌、子宮頸癌是五種癌症的項目 ②早期防治能見效是因慢性病的病因較為單純 ③糖尿病、高血壓與高血脂是慢性病防治重點 ④此項業務隸屬在衛生福利部國民健康署",80,111,"2026-09-04",1788510694680]