[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-106-1-psychiatric-community-020":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":32,"lastmod":62},"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-020","nurse-106-1-psychiatric-community-020",106,1,20,"丁小姐服用鋰鹽治療，護理師應注意那些鋰鹽中毒時常見的症狀？①意識障礙 ②腹瀉 ③肢體僵硬 ④眼球震顫",{"A":14,"B":15,"C":16,"D":17},"①②③","②③④","①②④","①③④","A",null,[],"本題考點在辨識鋰鹽中毒的常見臨床表現。鋰鹽中毒典型影響中樞神經與腸胃系統,①意識障礙(混亂、嗜睡)、②腹瀉(腸胃道刺激)、③肢體僵硬\u002F肌肉張力增加皆為公認中毒徵象,故選A(①②③)。④眼球震顫(nystagmus)雖可於嚴重鋰鹽中毒出現,但在國考標準列舉的核心中毒症狀中較不典型,官方標準答案未納入④,凡含④的B、C皆刪去。判讀依據為鋰鹽中毒的神經—腸胃症候群:早期噁心、嘔吐、腹瀉、顫抖,進展為運動失調、肌肉僵硬、意識改變乃至抽搐。","鋰鹽中毒進程:輕度以腸胃症狀(噁心、嘔吐、腹瀉)與細顫為主;中重度出現運動失調、粗大顫抖、肌肉僵硬、反射亢進、意識混亂,嚴重可抽搐、昏迷。眼球震顫屬嚴重中毒偶見表現,故在『常見症狀』的題型中通常不列為標準答案——這也是本題易與④糾結之處,故把握度標為中等。記憶:『鋰中毒——腸胃打頭陣,神經跟著亂(顫、僵、亂、抽)』。",[24,26,28,30],{"term":25,"count":10},"鋰鹽中毒症狀",{"term":27,"count":10},"神經腸胃症候群",{"term":29,"count":10},"肌肉僵硬與意識障礙",{"term":31,"count":10},"眼球震顫非典型",[33,37,42,47,52,57],{"webId":34,"stem":35,"number":36,"year":9,"session":10},"nurse-106-1-psychiatric-community-021","林女士的診斷最可能為：",21,{"webId":38,"stem":39,"number":40,"year":9,"session":41},"nurse-106-2-psychiatric-community-037","承上題，王先生面對此雙重打擊，有關其反應與調適的敘述，下列何者正確？",37,2,{"webId":43,"stem":44,"number":45,"year":46,"session":10},"nurse-107-1-psychiatric-community-051","實證研究結果發現母乳哺餵對母嬰健康有多重益處，世界衛生組織設定 2025 年 6 個月以下純母乳哺育率目標為何？",51,107,{"webId":48,"stem":49,"number":50,"year":51,"session":10},"nurse-109-1-psychiatric-community-009","陳護理師與李先生進行支持性心理治療，每次討論到工作挫折時，李先生總是表示不想討論，護理師再次引導李先生表達，病人就表示要停止會談。李先生呈現的是下列何種行為？",9,109,{"webId":53,"stem":54,"number":55,"year":56,"session":10},"nurse-110-1-psychiatric-community-053","國際間公認用以評估兒童健康的單一指標為何？",53,110,{"webId":58,"stem":59,"number":60,"year":61,"session":41},"nurse-111-2-psychiatric-community-007","有關 Benzodiazepine(BZD)類藥物，下列注意事項敘述何者最適當？",7,111,"2026-09-04",1788510694775]