[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-107-2-psychiatric-community-032":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"lastmod":65},"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-032","nurse-107-2-psychiatric-community-032",107,2,32,"施小姐，25 歲，初診斷為思覺失調症（昔稱精神分裂症），已入院一個月，預計下週辦理出院，護理師欲安排家屬衛教，下列那一項藥物衛教較適當？",{"A":14,"B":15,"C":16,"D":17},"個案回家後可能某些功能會退化，需要立即回門診請醫師調整藥物劑量","告知家屬，個案症狀穩定後可以逐漸減少藥物","若個案拒絕服藥時，可以先停一兩餐的藥，再說服個案吃藥","說明規律服藥的重要性與藥物可能出現的副作用","D",null,[],"本題考點是思覺失調病人出院前對家屬的藥物衛教重點。思覺失調需長期規律服藥以維持穩定、預防復發，故最適當的衛教為說明規律服藥的重要性及可能出現的副作用，讓家屬理解並協助監測、提升服藥順從性，選 D。A 一有功能退化就立即回診調藥，過度反應且未強調規律服藥的根本。B 症狀穩定即可逐漸減藥，是錯誤觀念——擅自減藥是復發主因。C 拒藥時先停一兩餐再勸，等於默許中斷、破壞血中濃度穩定，皆與維持性治療原則相悖，故不選。","思覺失調的維持性抗精神病藥治療是預防復發的基石，服藥順從性（adherence）不佳為復發首因。衛教核心：疾病與藥物需長期規律使用、不可自行增減或停藥、認識常見副作用（如錐體外症狀 EPS、體重與代謝變化、鎮靜）並知道如何回報，以及副作用可與醫師討論調整而非自行停藥。對順從性差者，可考慮長效針劑（LAI）。記憶：思覺失調衛教三不——不自行減藥、不擅自停藥、不因副作用就放棄治療（有問題找醫師）。相關概念：復發預防、長效針劑、家屬心理教育（降低高情感表露）。",[24,27,30,32],{"term":25,"count":26},"服藥順從性",5,{"term":28,"count":29},"抗精神病藥維持性治療",1,{"term":31,"count":29},"副作用衛教",{"term":33,"count":29},"自行減停藥與復發",[35,39,44,49,54,59],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-107-2-psychiatric-community-033","治療注意力不足\u002F過動症的藥物 methylphenidate（Ritalin ® ）是屬於那一類藥物？",33,{"webId":40,"stem":41,"number":42,"year":43,"session":10},"nurse-108-2-psychiatric-community-049","空氣品質指標（AQI）所參照之污染物濃度，不包括下列何者？",49,108,{"webId":45,"stem":46,"number":47,"year":48,"session":29},"nurse-109-1-psychiatric-community-063","有關細懸浮微粒（PM 2.5 ）之敘述，下列何者錯誤？",63,109,{"webId":50,"stem":51,"number":52,"year":53,"session":10},"nurse-110-2-psychiatric-community-021","有關躁症發作（manic episode）病人最常見的症狀，下列何者正確？",21,110,{"webId":55,"stem":56,"number":57,"year":58,"session":10},"nurse-111-2-psychiatric-community-065","林先生與父親、太太和二位幼稚園女兒同住。請問林家是屬於何種家庭類型？",65,111,{"webId":60,"stem":61,"number":62,"year":63,"session":64},"nurse-112-3-psychiatric-community-019","有關酒癮病人之敘述，下列何者正確？①停止喝酒後，戒斷症狀會在很短的時間內發生，且持續 5～7 天 ②酒精戒斷譫妄以聽幻覺為主 ③戒斷症狀包括：焦慮、厭食、失眠、顫抖等 ④常有營養不良和維他命 B 群缺乏的情形",19,112,3,"2026-09-04",1788510726797]