[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-107-1-psychiatric-community-008":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":35,"lastmod":64},"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-008","nurse-107-1-psychiatric-community-008",107,1,8,"您在對家屬說明精神疾病的發病可能病因，下列有關神經傳導物質與疾病病因之關係，四項當中何者較有關？",{"A":14,"B":15,"C":16,"D":17},"阿茲海默氏症與 GABA（γ-aminobutyric acid）功能過低最有關係","思覺失調症與乙醯膽鹼（acetylcholine, ACh）功能過低有關","強迫症與血清素（serotonin）活性高低失調有關","焦慮症患者與多巴胺（dopamine）活性過高有關","C",null,[],"本題考點在於神經傳導物質與精神疾病的關聯。依神經生化學說，強迫症（OCD）與血清素（serotonin）系統活性失調有關，臨床上選擇性血清素回收抑制劑（SSRI）治療有效即為佐證，故 C 正確，選 C。A 錯：阿茲海默氏症與乙醯膽鹼（ACh）功能低下最相關，而非 GABA，治療也以膽鹼酯酶抑制劑為主。B 錯：思覺失調症與多巴胺（dopamine）功能過高有關（多巴胺假說），並非乙醯膽鹼過低。D 錯：焦慮症主要與 GABA 抑制不足及血清素失調有關，而非多巴胺活性過高，把焦慮歸於多巴胺過高屬概念錯置。","把幾組「疾病—神經傳導物質」對應背熟即可秒答：思覺失調＝多巴胺過高（中腦邊緣路徑），治療用多巴胺拮抗劑；阿茲海默＝乙醯膽鹼不足，治療用膽鹼酯酶抑制劑；憂鬱症＝血清素與正腎上腺素不足；強迫症＝血清素調節失衡，SSRI 有效；焦慮症＝GABA 抑制不足（benzodiazepine 增強 GABA 而抗焦慮）；巴金森氏症＝黑質多巴胺不足。本題的四個選項各自把疾病配錯物質或方向，只有強迫症配血清素正確。記憶訣竅：用「藥物治療靶點」反推病理——SSRI 治強迫，故強迫與血清素相關。",[24,27,29,31,33],{"term":25,"count":26},"神經傳導物質假說",2,{"term":28,"count":10},"血清素與強迫症",{"term":30,"count":10},"多巴胺與思覺失調",{"term":32,"count":10},"乙醯膽鹼與阿茲海默",{"term":34,"count":10},"GABA 與焦慮",[36,40,44,49,54,59],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-107-1-psychiatric-community-009","當團體發展至「工作期」的階段時，團體領導者應有的角色，下列何項正確？①避免成員互相攻擊 ②鼓勵成員誠實表達 ③維持團體的凝聚力 ④協助成員準備與團體分離",9,{"webId":41,"stem":42,"number":43,"year":9,"session":26},"nurse-107-2-psychiatric-community-025","住院治療中，護理師進行護理評估後，下列何者是最首要之護理目標？",25,{"webId":45,"stem":46,"number":47,"year":48,"session":26},"nurse-108-2-psychiatric-community-039","針對家庭暴力，護理師的治療性措施，下列敘述何者正確？",39,108,{"webId":50,"stem":51,"number":52,"year":53,"session":26},"nurse-109-2-psychiatric-community-077","有關慢性病的特性，下列何者錯誤？",77,109,{"webId":55,"stem":56,"number":57,"year":58,"session":10},"nurse-111-1-psychiatric-community-041","有關健康融入所有政策（health in all policies）的概念，下列敘述何者正確？",41,111,{"webId":60,"stem":61,"number":62,"year":63,"session":10},"nurse-112-1-psychiatric-community-075","根據長期照顧十年計畫 2.0，個案管理師進行個案長期照護需求評估時，下列何項最不適宜？",75,112,"2026-09-04",1788510704081]