[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-109-1-psychiatric-community-028":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-028","nurse-109-1-psychiatric-community-028",109,1,28,"下列何種神經傳導物質的變化最能說明引發焦慮症病人焦慮症狀的生理機制？",{"A":14,"B":15,"C":16,"D":17},"正腎上腺素（norepinephrine）分泌濃度過高","γ-胺基丁酸（γ-aminobutyric acid, GABA）分泌濃度過高","醣皮質素（glucocorticoid）分泌濃度過低","乙醯膽鹼（acetylcholine, ACh）分泌濃度過低","A",null,[],"本題考點在於焦慮症的神經傳導物質生理機制。依焦慮的神經生化學說,正腎上腺素(norepinephrine)分泌過高會使交感神經與藍斑核過度活化,引發心悸、顫抖、警覺升高等焦慮症狀,故選A。B錯,GABA是抑制性傳導物質,濃度過低才使抑制不足、興奮性增加而焦慮,過高反而抗焦慮。C錯,焦慮壓力下醣皮質素(皮質醇)通常分泌增加而非過低(HPA軸活化)。D錯,乙醯膽鹼變化主要與記憶認知相關,非焦慮症狀主要機制。焦慮關鍵在正腎上腺素亢進與GABA不足,唯A正確。","焦慮的神經生化:正腎上腺素過度(藍斑核過度放電)、血清素失調、GABA抑制不足三者交織。故治療上BZD增強GABA、SSRI調節血清素、β阻斷劑降交感症狀。壓力時HPA軸活化使皮質醇上升。記憶:焦慮=興奮性(NE)太多+抑制性(GABA)太少;GABA是煞車、NE是油門,焦慮就是油門猛煞車鬆。",[24,27,30,32],{"term":25,"count":26},"正腎上腺素",3,{"term":28,"count":29},"藍斑核",2,{"term":31,"count":10},"焦慮神經生化機制",{"term":33,"count":10},"GABA抑制",[35,39,43,48,53,58],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-109-1-psychiatric-community-029","有關物質使用障礙症的敘述，下列何者錯誤？",29,{"webId":40,"stem":41,"number":42,"year":9,"session":29},"nurse-109-2-psychiatric-community-045","關於登革熱之描述，下列何者錯誤？",45,{"webId":44,"stem":45,"number":46,"year":47,"session":10},"nurse-110-1-psychiatric-community-059","下列何種衛生教育方法最能快速讓民眾了解流感預防的相關知識？",59,110,{"webId":49,"stem":50,"number":51,"year":52,"session":29},"nurse-111-2-psychiatric-community-017","楊小姐，52 歲，診斷為憂鬱症，向護理師抱怨：「請你告訴醫生吃藥讓我非常不舒服。」護理師的回答，下列何者最適當？",17,111,{"webId":54,"stem":55,"number":56,"year":57,"session":29},"nurse-112-2-psychiatric-community-061","下列何種食物中毒，潛伏期最短？",61,112,{"webId":59,"stem":60,"number":61,"year":62,"session":26},"nurse-113-3-psychiatric-community-025","以心理健康促進三級預防概念，屬初級預防敘述下列何者正確？①於社區進行心理衛生問題評估篩檢 ② 提供張老師資源，以增加個人調適能力 ③舉辦健康講座，促進心理健康 ④輔導職能復健，增進其功能",25,113,"2026-09-04",1788510714212]