[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-109-1-psychiatric-community-013":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"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-109-1-精神科與社區衛生護理學-013","nurse-109-1-psychiatric-community-013",109,1,13,"有關鋰鹽 Lithium（Lidin®），下列何項敘述最適切？",{"A":14,"B":15,"C":16,"D":17},"躁症急性期治療濃度建議是 2.0～2.5 mEq\u002FL","有效濃度與中毒濃度很接近，若病人忘記服藥時，建議隔天一次補服未服劑量","最佳測量濃度是服藥後的 2～4 小時以內","服藥後半小時到 2 小時，血清濃度達最高峰，此時較易產生中毒症狀","D",null,[],"本題考點在於鋰鹽(Lithium)的藥理與血中濃度監測。依鋰鹽藥動學,口服後約半小時至2小時血清濃度達最高峰,此高峰期最易出現中毒症狀,故選D。A錯,躁症急性期治療濃度約0.8–1.2 mEq\u002FL,而2.0–2.5 mEq\u002FL已達重度中毒範圍。B錯,治療濃度與中毒濃度雖接近(治療指數窄),但漏服時絕不可隔天補服兩倍劑量,以免濃度驟升中毒,應跳過漏服劑量。C錯,標準採血是服藥後12小時的血中低點(trough)而非2–4小時,過早採血會高估濃度。唯D正確描述吸收高峰與中毒風險。","鋰鹽治療指數極窄,故須定期監測血中濃度:急性期0.8–1.2、維持0.6–1.0、>1.5即中毒。標準抽血為次晨服藥前(距上次給藥約12小時)測谷值。中毒早期症狀:噁心、腹瀉、手抖、多尿、口渴;嚴重可致意識改變、抽搐。鋰為腎排除,脫水、低鈉、利尿劑會升高血鋰。記憶:窄治療指數藥→固定時間監測、漏服不補倍量。",[24,27,30,32],{"term":25,"count":26},"治療血中濃度",3,{"term":28,"count":29},"鋰中毒",2,{"term":31,"count":10},"鋰鹽Lithium",{"term":33,"count":10},"血中濃度谷值監測",[35,39,43,48,52,57],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-109-1-psychiatric-community-014","蕭太太，74 歲，診斷為失智症，請問下列護理何者適當？",14,{"webId":40,"stem":41,"number":42,"year":9,"session":29},"nurse-109-2-psychiatric-community-030","人格違常的護理措施主要針對病人所出現之特殊行為或症狀處理，常見的問題行為下列何者正確？ ①自我傷害 ②操縱 ③衝動行為 ④自我照顧能力缺失",30,{"webId":44,"stem":45,"number":46,"year":47,"session":10},"nurse-110-1-psychiatric-community-044","有關流行病學世代研究法（cohort study），下列何者較適當？①適合研究罕見致癌因子 ②能描述疾病之自然史 ③能探討因果關係 ④可能出現訪談誤差（interview bias）",44,110,{"webId":49,"stem":50,"number":29,"year":51,"session":29},"nurse-111-2-psychiatric-community-002","精神復健機構的資深護理師協助病人接受「強制社區治療」的工作項目中，下列何者正確？①藥物治療 ②藥物之依賴性評估 ③藥物之血液檢驗 ④藥物之尿液濃度檢驗 ⑤酒精篩檢 ⑥放射性藥物檢驗",111,{"webId":53,"stem":54,"number":55,"year":56,"session":29},"nurse-112-2-psychiatric-community-046","有關篩檢工具的敘述，下列何者正確？",46,112,{"webId":58,"stem":59,"number":60,"year":61,"session":26},"nurse-113-3-psychiatric-community-010","陳小華，20 歲診斷為思覺失調症，在高中二年級即出現幻聽，常覺得別人在議論他，大家都知道他在想什麼，拒絕與人接觸，不願意上學，自我照顧變差。下列何者屬於正性精神症狀？",10,113,"2026-09-04",1788510714035]