[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-109-1-maternal-pediatric-057":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"lastmod":65},"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":10},"nurse-109-1-產兒科護理學-057","nurse-109-1-maternal-pediatric-057",109,1,57,"小春，國中 3 年級，1 年前被診斷罹患青少年憂鬱症，曾服用 fluoxetine 及 ativan 治療。最近因會考在即，課業壓力導致失眠，情緒常常不穩定，今在家忽然情緒失控，故至醫院求治，醫師表示可能憂鬱症再發，需再服藥治療。母親詢問護理師應該要怎麼做對小春最好，下列回答何者為佳？",{"A":14,"B":15,"C":16,"D":17},"多給予小春獨處的空間，及提供獨立思考的時間","如果服藥後有嗜睡的副作用則可先停藥，避免影響功課","可幫小春請家教或上補習班，幫助小春成績進步以減少壓力","可多陪伴小春，鼓勵到戶外曬太陽與進行規律運動","D",null,[],"本題考點在於青少年憂鬱症的支持性照護原則。依憂鬱症照護與自殺防治概念，患者需要的是增加陪伴、減少孤立，並透過規律運動與日照促進血清素分泌以改善情緒，故 D 最佳。A 錯在給予過多獨處空間，憂鬱個案獨處易加深負向反芻與自殺風險，應避免長時間單獨。B 錯在自行停藥，fluoxetine（SSRI 類抗憂鬱劑）需規律服用且不可因副作用自行中斷，以免症狀反彈。C 錯在增加課業安排，患者本就因會考壓力發病，補習與家教反而加重壓力源、適得其反。故正確回答為 D，以陪伴、運動與日照支持病童。","藥理連結：fluoxetine 屬選擇性血清素回收抑制劑（SSRI），起效需二至四週，突然停藥可能出現停藥症候群；ativan（lorazepam）為 benzodiazepine，用於短期緩解焦慮失眠。非藥物面向，規律有氧運動與充足日照可提升血清素與內啡肽，是實證有效的情緒調節輔助。照護重點在於維持治療連續性與情緒支持，並留意自殺警訊。",[24,26,28,30,32],{"term":25,"count":10},"青少年憂鬱症照護",{"term":27,"count":10},"SSRI\u002Ffluoxetine",{"term":29,"count":10},"不可自行停藥",{"term":31,"count":10},"運動與日照調節情緒",{"term":33,"count":10},"自殺風險評估",[35,39,44,49,54,60],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-109-1-maternal-pediatric-058","有關兒童罹患自閉症會出現的身心表徵，下列何者錯誤？",58,{"webId":40,"stem":41,"number":42,"year":9,"session":43},"nurse-109-2-maternal-pediatric-074","有關腸套疊（intussusception）的臨床表徵，下列敘述何者正確？",74,2,{"webId":45,"stem":46,"number":47,"year":48,"session":43},"nurse-110-2-maternal-pediatric-008","李女士月經週期約 28～45 天，產前門診剛確定懷孕，最後一次月經來是上個月 3 號，下列何者為最準確的預產期推估法？",8,110,{"webId":50,"stem":51,"number":52,"year":53,"session":43},"nurse-111-2-maternal-pediatric-046","丁丁，3 歲，被家中養的母貓咬傷手背，傷口流血，疼痛哭泣，送至急診處理，下列處置何者錯誤？",46,111,{"webId":55,"stem":56,"number":57,"year":58,"session":59},"nurse-112-3-maternal-pediatric-010","有關潛伏期產程延長且母胎無異常的待產婦照護，下列何者較不適當？",10,112,3,{"webId":61,"stem":62,"number":63,"year":64,"session":10},"nurse-114-1-maternal-pediatric-004","懷孕32週婦女，當有人經過其身旁時，會不由自主用雙手護住肚子，下列何者最能形容其孕期的母性任務行為？",4,114,"2026-09-04",1788510713673]