[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-108-1-maternal-pediatric-054":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"lastmod":62},"產兒科護理學","maternal-pediatric",{"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-108-1-產兒科護理學-054","nurse-108-1-maternal-pediatric-054",108,1,54,"有關青少年憂鬱症的治療與處置，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"青少年憂鬱症藥物的使用以三環抗鬱劑為首選","輕度憂鬱症青少年使用電氣痙攣治療效果為佳","可多攝取多醣類、奶製品、魚油及維生素的食物","避免聚焦其人際困擾議題，以免加重憂鬱症狀","C",null,[],"本題考點在青少年憂鬱症的治療原則。均衡且富含多醣類、奶製品、魚油（Omega-3）及維生素的飲食有助神經傳導物質合成與情緒穩定，屬適當的生活型態建議，故選 C。選項 A 錯在青少年憂鬱症藥物首選為選擇性血清素回收抑制劑（SSRI，如 fluoxetine），三環抗鬱劑因抗膽鹼副作用多、過量致命風險高，不作首選。選項 B 錯在電氣痙攣治療僅保留給重度、藥物無效或有立即危險者，輕度憂鬱不適用。選項 D 錯在人際困擾常是青少年憂鬱的重要誘因，應協助處理而非刻意迴避，人際治療正是實證有效的介入方式。","憂鬱症的單胺假說：血清素、正腎上腺素、多巴胺功能不足與憂鬱相關，SSRI 藉抑制血清素回收提升突觸濃度。青少年用抗鬱劑須留意黑框警語——治療初期可能增加自殺意念，需密切追蹤。Omega-3 與 DHA 為腦細胞膜與神經傳導原料，故飲食建議有其生理基礎。可連結概念：SSRI、人際心理治療（IPT）、認知行為治療（CBT）。三環抗鬱劑過量會致心律不整，這是青少年不作首選的關鍵安全考量。",[24,27,29,31],{"term":25,"count":26},"青少年憂鬱症",3,{"term":28,"count":10},"SSRI",{"term":30,"count":10},"Omega-3 脂肪酸",{"term":32,"count":10},"人際心理治療",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-108-1-maternal-pediatric-055","有關嬰兒的心肺復甦術，下列何者正確？",55,{"webId":39,"stem":40,"number":41,"year":9,"session":42},"nurse-108-2-maternal-pediatric-071","疼痛控制為照護兒癌病童之一大挑戰，有關疼痛的評估及處置，下列敘述何者正確？",71,2,{"webId":44,"stem":45,"number":46,"year":47,"session":42},"nurse-109-2-maternal-pediatric-005","一位孕前 BMI 為 23.1 kg\u002Fm 2 的單胞胎孕婦，有關其孕期體重之護理指導，下列何者最適當？",5,109,{"webId":49,"stem":50,"number":51,"year":52,"session":42},"nurse-110-2-maternal-pediatric-043","小剛，12 歲，國小六年級，因最近走路經常偏斜、跌倒，情緒變得暴躁，且經常遺忘事情而入院，經醫師檢查後，診斷為惡性腦瘤，母親情緒低落的說：「怎麼會這樣呢？小剛這麼乖，為什麼要讓他受這麼多折磨，我到底做錯了什麼？」，護理師最適當的處理為何？",43,110,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-112-1-maternal-pediatric-007","李女士懷孕 14 週，產檢時詢問：「我從小就吃素，現在懷孕了，我在飲食上要注意什麼嗎？」下列回應何者較適當？",7,112,{"webId":59,"stem":60,"number":61,"year":57,"session":26},"nurse-112-3-maternal-pediatric-041","小梨，4 歲，診斷為缺鐵性貧血，有關鐵劑（Imferon）注射，下列何者不適當？",41,"2026-09-04",1788510710675]