[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-106-2-psychiatric-community-011":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"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-106-2-精神科與社區衛生護理學-011","nurse-106-2-psychiatric-community-011",106,2,11,"有關電氣痙攣療法（electroconvulsive therapy, ECT）護理照護的敘述，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"目前最常見的適應症為焦慮症","電流通過腦部引發痙攣，會先出現陣發性痙攣，再出現強直性痙攣","病人接受 ECT 治療者，並不需要事先洗頭，因為油垢有利於電傳導","病人接受 ECT 治療前，應確認病人排空膀胱與除去活動假牙","D",null,[],"本題考點為電氣痙攣療法（ECT）的術前準備。依 ECT 護理原則，治療前須如同麻醉手術般準備，包括排空膀胱、取下活動假牙（以免麻醉痙攣時脫落阻塞呼吸道）、禁食等，故正解為 D。A 錯在 ECT 最主要且療效最佳的適應症是重度憂鬱症（尤其伴自殺或拒食），而非焦慮症。B 錯在誘發痙攣的順序是先強直性（tonic）再陣發（clonic）痙攣，選項將順序顛倒。C 錯在治療前應清潔頭皮、去除油垢與髮膠，以確保電極接觸良好、電流傳導有效，油垢反而增加阻抗妨礙傳導。","ECT 適應症以重鬱症為首（對藥物反應不佳、需快速起效如強烈自殺意念、僵直或拒食者），亦用於躁症、部分思覺失調。全身痙攣典型為 tonic（強直）在先、clonic（陣攣）在後，與癲癇大發作相似。術前準備比照全身麻醉：禁食（NPO）、排空膀胱、去假牙及金屬飾物、清潔頭皮確保導電。口訣「先僵後抖、清頭去牙、排空禁食」。現代 ECT 均在麻醉與肌肉鬆弛下進行以策安全。",[24,26,29,31],{"term":25,"count":10},"重度憂鬱症適應症",{"term":27,"count":28},"電氣痙攣療法(ECT)",1,{"term":30,"count":28},"術前準備(排空膀胱、去活動假牙)",{"term":32,"count":28},"強直-陣攣痙攣順序",[34,38,43,47,52,57],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-106-2-psychiatric-community-012","護理師與病人在治療性人際關係建立的過程中，工作期階段的主要任務為何？",12,{"webId":39,"stem":40,"number":41,"year":42,"session":28},"nurse-107-1-psychiatric-community-028","承上題，護理師對古先生入院時，有關生理、心理、社會、智能以及靈性五大層面評估的重點，下列何者正確？",28,107,{"webId":44,"stem":45,"number":46,"year":42,"session":10},"nurse-107-2-psychiatric-community-042","有關病例對照研究法（case-control study）與世代研究（cohort study）的比較，下列何者錯誤？",42,{"webId":48,"stem":49,"number":50,"year":51,"session":28},"nurse-109-1-psychiatric-community-080","有關高纖維飲食的益處，下列何者錯誤？",80,109,{"webId":53,"stem":54,"number":55,"year":56,"session":10},"nurse-110-2-psychiatric-community-044","未滿 1 歲 6 個月的兒童，全民健保提供幾次兒童預防保健服務？",44,110,{"webId":58,"stem":59,"number":60,"year":61,"session":10},"nurse-111-2-psychiatric-community-078","有關老人跌倒的危險因子中，下列何者屬於外因性的因素？",78,111,"2026-09-04",1788510699946]