[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-107-1-psychiatric-community-006":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"lastmod":63},"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-107-1-精神科與社區衛生護理學-006","nurse-107-1-psychiatric-community-006",107,1,6,"李先生罹患思覺失調症（昔稱精神分裂症；Schizophrenia）多年，因服藥遵從性不佳致經常發病住院治療，住院後，護理師評估後與醫師討論，醫囑開立 Risperidone（Risperiodone consta）25 mg 肌肉注射，下列何項正確？①藥物性質為油性 ②推藥速度宜快速 ③注射後不可按摩 ④限臀部深層肌肉注射",{"A":14,"B":15,"C":16,"D":17},"①②③","①②④","①③④","②③④","C",null,[],"本題考點在長效針劑抗精神病藥Risperidone(Risperdal Consta)的肌肉注射要點。判別關鍵在②「推藥速度宜快速」為錯誤——長效深層肌肉注射應緩慢推注以減少組織刺激與疼痛,故凡含②的選項(A、B、D)皆錯,只有排除②的C ①③④正確。③注射後不可按摩(避免改變藥物釋放速率)、④限於臀部等深層肌肉注射,均為長效針劑通則;①長效針劑多為緩釋劑型、需搖勻,依官方以①併入正確答案C。","長效(depot)抗精神病針劑重點口訣:深層肌肉、緩慢推注、注射後不按摩、部位輪換、專用針具現配現用。臨床設計目的:延長半衰期、改善服藥遵從性不佳(如本案),維持穩定血中濃度以減少復發住院。注意:傳統depot如Haloperidol decanoate、Fluphenazine decanoate為油性;Risperdal Consta嚴格說為水性微球緩釋懸浮劑,此為①敘述可討論之處,但本題的決斷點在②(應緩慢而非快速注射),故仍以C為答。",[24,27,29,31],{"term":25,"count":26},"服藥遵從性",5,{"term":28,"count":10},"長效抗精神病針劑(depot)",{"term":30,"count":10},"深層肌肉注射",{"term":32,"count":10},"緩慢推注、注射後不按摩",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-107-1-psychiatric-community-007","護理師從事治療性溝通時，下列那一項行為較合適？",7,{"webId":39,"stem":40,"number":41,"year":9,"session":42},"nurse-107-2-psychiatric-community-023","武先生，30 歲，診斷為第一型雙相情緒障礙症（昔稱第一型雙極性疾患），目前為躁症發作。護理師給藥時，武先生對護理師說：「我討厭吃藥，吃藥有副作用，昨晚病友打鼾很大聲，很吵，我好想抽菸，抽菸很快樂，醫師何時會來看我，上午或下午…」，武先生的症狀最符合下列何者？",23,2,{"webId":44,"stem":45,"number":46,"year":47,"session":42},"nurse-108-2-psychiatric-community-037","有關個人因應與壓力的理論，下列敘述何者正確？①下視丘－腦下垂體－腎上腺軸（HPA）的改變是個人面臨壓力源時主要的調節系統 ②壓力與中樞神經系統前額葉及邊緣系統的改變有關 ③壓力反應與個體之腦幹－運動及感覺皮質區有關 ④災難經驗對個人造成立即心理改變，但不影響個體知覺與性格特性",37,108,{"webId":49,"stem":50,"number":51,"year":52,"session":42},"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":54,"stem":55,"number":56,"year":57,"session":10},"nurse-111-1-psychiatric-community-039","承上題，對王小姐因藥物副作用產生的代謝症候群，下列何項護理措施最適當？",39,111,{"webId":59,"stem":60,"number":61,"year":62,"session":10},"nurse-112-1-psychiatric-community-073","有關長期照護需求評估工具之敘述，下列何者較不適宜？",73,112,"2026-09-04",1788510704054]