[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-109-1-psychiatric-community-024":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"lastmod":63},"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-024","nurse-109-1-psychiatric-community-024",109,1,24,"針對以藥物治療焦慮症狀之敘述，下列何者最為正確？",{"A":14,"B":15,"C":16,"D":17},"BZD（Benzodiazepine）對焦慮症的療效是阻斷大腦藍斑（Locus coerulus）的過度活躍","BZD（Benzodiazepine）類的藥物因可減少血清素的失調現象，因此可用於治療強迫症狀","TCA（Tricyclic Antidepressant）類的藥物藥效因比其餘抗憂鬱劑快，因此可用於恐慌發作初期的病人","BZD（Benzodiazepine）類的藥物因可分成數次服藥，因此可為治療老年病人焦慮症狀的首選","A",null,[],"本題考點在於抗焦慮藥物的藥理機轉。依BZD(Benzodiazepine)機轉,其增強GABA抑制性傳導、抑制藍斑核(Locus coeruleus)過度活躍,而藍斑核過度放電與焦慮密切相關,故A正確。B錯,調節血清素治療強迫症的是SSRI,而非BZD;BZD作用於GABA,對強迫症療效有限。C錯,TCA藥效需2–4週並不比其他抗憂鬱劑快,無法用於恐慌初期快速緩解。D錯,BZD在老年人易致跌倒、認知障礙與依賴,並非老年焦慮首選,老年焦慮多優先SSRI等較安全者。唯A正確描述機轉。","BZD藥理:結合GABA-A受體,增加氯離子通道開放頻率,強化GABA抑制作用,鎮靜抗焦慮。藍斑核(去甲腎上腺素能中樞)過度活化是焦慮\u002F恐慌的關鍵。SSRI才是強迫症與長期焦慮\u002F恐慌的一線用藥。老年人用BZD須警惕跌倒、鎮靜、成癮。記憶:BZD走GABA、強迫症走SSRI(血清素);老人與BZD不對盤。",[24,27,30,32],{"term":25,"count":26},"Benzodiazepine",3,{"term":28,"count":29},"藍斑核",2,{"term":31,"count":10},"GABA機轉",{"term":33,"count":10},"SSRI與強迫症",[35,39,43,48,53,58],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-109-1-psychiatric-community-025","下列何種現象最有可能造成廣泛性焦慮症（Generalized Anxiety Disorder）病人會一直聚焦在生病的角色上而獲得他人的關心？",25,{"webId":40,"stem":41,"number":42,"year":9,"session":29},"nurse-109-2-psychiatric-community-041","有關政府對偏鄉醫療照護提供之措施，下列何者正確？",41,{"webId":44,"stem":45,"number":46,"year":47,"session":10},"nurse-110-1-psychiatric-community-055","社區護理師欲教導初診糖尿病個案學習調整日常飲食習慣，下列何種教學方法較適當？",55,110,{"webId":49,"stem":50,"number":51,"year":52,"session":29},"nurse-111-2-psychiatric-community-013","根據門寧格（William Menninger）所提出的態度治療理論，對於有操控、挑撥、過分要求的病人，最適當的治療態度為何？",13,111,{"webId":54,"stem":55,"number":56,"year":57,"session":29},"nurse-112-2-psychiatric-community-057","運用電視廣告宣傳民眾建立預防 COVID-19 行為，是屬於下列何種衛生教育方法？",57,112,{"webId":59,"stem":60,"number":61,"year":62,"session":26},"nurse-113-3-psychiatric-community-021","陳女士，診斷為阿茲海默症，經住院治療後準備出院。家屬顯得焦慮，不知道如何照顧陳女士，頻頻詢問其他病友家屬的照護意見。下列護理措施何者最適切？",21,113,"2026-09-04",1788510714166]