[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-109-2-psychiatric-community-003":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"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-109-2-精神科與社區衛生護理學-003","nurse-109-2-psychiatric-community-003",109,2,3,"鋰鹽（lithium）是治療雙相情緒障礙症（bipolar disorder）之重要的情緒穩定劑，當病人持續使用鋰鹽治療時，必須定期醫療檢查的項目，下列何項正確？①肝臟功能 ②腎臟功能 ③甲狀腺功能 ④肺臟功能",{"A":14,"B":15,"C":16,"D":17},"①②","②③","①③","①④","B",null,[],"本題考點為鋰鹽治療的定期監測項目。依鋰鹽的藥物動力學，其幾乎完全經腎臟排除，腎功能異常會使血中濃度升高而中毒，故須監測腎功能；又鋰鹽長期使用會干擾甲狀腺素合成、導致甲狀腺功能低下，故亦須監測甲狀腺功能，答案為②腎臟功能與③甲狀腺功能，選 B。①肝臟功能非必要，因鋰鹽不經肝代謝。④肺臟功能與鋰鹽毒性無直接關聯。故僅②③正確，其餘含①或④的組合皆錯。","鋰鹽治療濃度區間狹窄（約零點六至一點二毫當量每公升），需定期驗血中濃度。腎臟是排除與毒性的關鍵，脫水、利尿劑、低鈉會升高濃度。長期可致甲狀腺腫或甲狀腺低下，故追蹤 TSH。記憶：鋰鹽鎖定腎與甲狀腺兩大靶器官。中毒早期見手抖、噁心、多尿。",[24,27,29,31],{"term":25,"count":26},"鋰鹽",1,{"term":28,"count":26},"腎功能監測",{"term":30,"count":26},"甲狀腺功能",{"term":32,"count":26},"治療濃度區間",[34,38,43,47,52,57],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-109-2-psychiatric-community-004","病人因罹患厭食症入院治療，母親說病人多次表示自己並非其親生的，很恨母親。但病人於會談中告訴護理師：「母親非常完美，而且非常懂得如何愛小孩。」病人主要使用何種防衛機轉？",4,{"webId":39,"stem":40,"number":41,"year":42,"session":26},"nurse-110-1-psychiatric-community-020","病人因反覆出現強迫性思考及持續洗手的行為，而入院治療，下列敘述何者較適當？",20,110,{"webId":44,"stem":45,"number":46,"year":42,"session":10},"nurse-110-2-psychiatric-community-034","有關罹患注意力缺陷過動症（ADHD）學齡期兒童的治療計畫，下列敘述何者錯誤？",34,{"webId":48,"stem":49,"number":50,"year":51,"session":10},"nurse-111-2-psychiatric-community-072","有關居家式照顧服務的敘述，下列何者較不適當？",72,111,{"webId":53,"stem":54,"number":55,"year":56,"session":11},"nurse-112-3-psychiatric-community-036","有關菸害防制法的規定，下列何者錯誤？",36,112,{"webId":58,"stem":59,"number":60,"year":61,"session":26},"nurse-114-1-psychiatric-community-030","在疫情期間維持適當社交距離，是針對三角致病模式（epidemiological triangle）中那一因素的處理策略？",30,114,"2026-09-04",1788510717820]