[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-107-2-psychiatric-community-013":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-107-2-精神科與社區衛生護理學-013","nurse-107-2-psychiatric-community-013",107,2,13,"朱先生，診斷為思覺失調症（schizophrenia），持續服用第二代抗精神病藥物 clozaril （ clozapine）中，護理師給予身體健康狀態評估時，應注意評估該藥物的副作用，下列何項正確？①顆粒性白血球缺乏症 ②低血糖 ③口水分泌過多 ④代謝症候群",{"A":14,"B":15,"C":16,"D":17},"①②③","①②④","①③④","②③④","C",null,[],"本題考點是非典型抗精神病藥 clozapine（clozaril）的重要副作用監測。clozapine 藥理上會抑制骨髓，導致顆粒性白血球缺乏症（agranulocytosis，①），故須定期監測白血球，這是它須簽署監測同意的主因；其抗膽鹼與自律神經作用反常地造成唾液分泌過多（sialorrhea，③）；並因影響葡萄糖與血脂代謝而引發代謝症候群（④）。①③④正確，選 C。②錯在方向：clozapine 造成的是高血糖（hyperglycemia）與糖尿病風險，而非低血糖，故含②的 A、B、D 皆不選。","clozapine 是治療頑固型思覺失調的最後線用藥，療效佳但副作用監測嚴格。致命風險為 agranulocytosis（顆粒性白血球缺乏），機轉為免疫媒介的骨髓抑制，須規律驗 ANC（絕對嗜中性球數），出現發燒喉嚨痛須警覺感染。代謝面：第二代抗精神病藥（尤其 clozapine、olanzapine）易致體重增加、高血糖、血脂異常，構成代謝症候群，須追蹤血糖血脂體重腰圍。sialorrhea 夜間流口水是特徵性且弔詭的副作用。記憶：clozapine 的「三高一低」——高唾液、高血糖、高體重、低白血球。",[24,27,30,32],{"term":25,"count":26},"代謝症候群",8,{"term":28,"count":29},"clozapine",4,{"term":31,"count":10},"顆粒性白血球缺乏症",{"term":33,"count":34},"唾液分泌過多",1,[36,40,45,50,54,59],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-107-2-psychiatric-community-014","護病關係建立過程中，病人將其對過去經驗中重要對象的感覺、態度和希望投射至護理師身上，稱為：",14,{"webId":41,"stem":42,"number":43,"year":44,"session":10},"nurse-108-2-psychiatric-community-030","對於有行為規範障礙症（conduct disorder）的兒童之護理，下列何者正確？",30,108,{"webId":46,"stem":47,"number":48,"year":49,"session":34},"nurse-109-1-psychiatric-community-044","欲了解社區中 75 歲以上腦中風死亡率，應調查那些資料？①年中總人口數 ②年中 75 歲以上總人口數 ③全年 75 歲以上死亡人數 ④全年 75 歲以上腦中風死亡人數",44,109,{"webId":51,"stem":52,"number":10,"year":53,"session":10},"nurse-110-2-psychiatric-community-002","有關症狀穩定且日常生活可自理的精神病人，剛轉入康復之家，首要的復健目標為何？",110,{"webId":55,"stem":56,"number":57,"year":58,"session":10},"nurse-111-2-psychiatric-community-046","有關出院準備服務的敘述，下列何者最不適當？",46,111,{"webId":60,"stem":61,"number":62,"year":63,"session":10},"nurse-112-2-psychiatric-community-080","社區護理師教導糖尿病患者足部自我照顧的內容，下列何者最不適當？",80,112,"2026-09-04",1788510726613]