[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-107-1-psychiatric-community-032":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":26},"nurse-107-1-精神科與社區衛生護理學-032","nurse-107-1-psychiatric-community-032",107,1,32,"下列關於治療注意力不足／過動症藥物 methylphenidate（Ritalin ® ）的描述，何者正確？",{"A":14,"B":15,"C":16,"D":17},"可促進多巴胺的釋放","血壓降低為常見的副作用","每 2 個月需計畫性停藥一次","可以刺激三酸甘油酯的代謝","A",null,[],"本題考點是 methylphenidate(Ritalin)的藥理作用與副作用。依其中樞神經興奮劑機轉,它抑制多巴胺與正腎上腺素回收並促進多巴胺釋放,提升前額葉多巴胺功能以改善注意力不足過動症狀,故選 A。B 錯在副作用方向,作為興奮劑它常見的是血壓上升、心跳加快與食慾降低,而非血壓降低。C 錯在「每 2 個月需計畫性停藥一次」的說法,臨床雖有依需要安排藥物假期(drug holiday)以評估必要性與減少生長影響,但並無「每 2 個月固定停藥」的規定。D 錯在藥理範疇,methylphenidate 並非用來刺激三酸甘油酯代謝,那與其中樞興奮機轉無關。四選項中僅 A 正確描述其多巴胺相關作用。","機轉核心:阻斷 DAT\u002FNET 回收 + 促進釋放 → 前額葉多巴胺、正腎上腺素上升 → 改善專注與衝動控制。興奮劑副作用可用「交感神經興奮」串記:失眠、食慾下降、體重與生長受影響、血壓心跳上升。藥物假期是選擇性策略而非固定週期。可連結:ADHD 神經機轉、DAT、生長監測、非興奮劑替代(Atomoxetine)。",[24,27,29,31],{"term":25,"count":26},"methylphenidate",2,{"term":28,"count":10},"多巴胺機轉",{"term":30,"count":10},"中樞興奮劑副作用",{"term":32,"count":10},"ADHD藥物",[34,38,42,47,52,57],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-107-1-psychiatric-community-033","陳小姐，28 歲，診斷為思覺失調症，症狀穩定參加社區復健活動，並可接受獨立生活能力的訓練，但由於她無法返回自己家裡居住，最適合陳小姐的服務模式之安排為何？",33,{"webId":39,"stem":40,"number":41,"year":9,"session":26},"nurse-107-2-psychiatric-community-049","5 個月大的小旬，應完成下列何種疫苗接種？",49,{"webId":43,"stem":44,"number":45,"year":46,"session":26},"nurse-108-2-psychiatric-community-063","有關新型 A 型流感之描述，下列何者正確？①H1N1, H3N2 屬於每年週期性流行的流感 ②致死率約為 80～90% ③常見於禽鳥病毒傳染人類，如：H7N9, H5N1 ④密切接觸者須自主健康管理 5 天 ⑤發現個案須於 48 小時內通報",63,108,{"webId":48,"stem":49,"number":50,"year":51,"session":10},"nurse-110-1-psychiatric-community-021","有關創傷後壓力症（post-traumatic stress disorder; PTSD）病人的治療處置，下列何者較適當？",21,110,{"webId":53,"stem":54,"number":55,"year":56,"session":10},"nurse-111-1-psychiatric-community-065","有關長期照顧十年計畫 2.0 小規模多機能服務機構發展的目的，下列何者錯誤？",65,111,{"webId":58,"stem":59,"number":60,"year":61,"session":26},"nurse-112-2-psychiatric-community-019","武先生，28 歲，診斷為雙相情緒障礙症，目前為躁症發作，渴望有女朋友，向護理師說：「你很漂亮，我可以當你的男朋友。」下列何項護理措施最適宜？",19,112,"2026-09-04",1788510704310]