[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-109-2-psychiatric-community-006":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"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-109-2-精神科與社區衛生護理學-006","nurse-109-2-psychiatric-community-006",109,2,6,"護理師在照顧精神疾病病人服藥時，下列關於評估病人可能出現服藥副作用的敘述，何者正確？",{"A":14,"B":15,"C":16,"D":17},"服用 clozapine 者最需要注意靜坐不能（akathisia）的發生，應評估其焦躁、來回走動的情形","服用 chlorpromazine 者最需要注意光過敏反應的發生，應提醒避免直接日曬","服用 haloperidol 者最需要注意體重增加與月經不規則的可能，應主動給予護理指導","服用 sulpiride 者最需要注意顆粒性白血球缺乏症的發生，謹慎監測全血球計數","B",null,[],"本題考點為抗精神病藥副作用的正確配對。依 chlorpromazine 的藥理特性，其為低效價傳統抗精神病藥，常見光敏感性皮膚反應，故應提醒病人避免直接日曬，B 正確。A 錯在 clozapine 最需警覺的是顆粒性白血球缺乏症，而非靜坐不能。C 錯在 haloperidol 為高效價藥物，最需注意的是錐體外症狀（如肌張力不全、類巴金森），體重增加較常見於非典型藥物。D 錯在顆粒性白血球缺乏症是 clozapine 的指標性副作用，須定期監測全血球計數，而非 sulpiride。","傳統抗精神病藥的效價與副作用呈鏡像關係：低效價的 chlorpromazine 鎮靜、姿位性低血壓、抗膽鹼與光敏感明顯；高效價的 haloperidol 則以錐體外症狀為主。clozapine 屬非典型藥，代價是可能致命的顆粒性白血球缺乏，須定期監測全血球計數。記憶：CPZ 怕曬太陽，clozapine 顧血球，haloperidol 顧僵硬。",[24,27,29,31],{"term":25,"count":26},"chlorpromazine 光敏感",1,{"term":28,"count":26},"clozapine 顆粒性白血球缺乏",{"term":30,"count":26},"haloperidol 錐體外症狀",{"term":32,"count":26},"抗精神病藥效價",[34,38,43,47,52,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-109-2-psychiatric-community-007","40 歲的張小姐患有憂鬱症，某日向護理師抱怨：「吃藥讓我覺得非常不舒服，可否請你告訴醫生？」下列何項護理師的回答較為合適？",7,{"webId":39,"stem":40,"number":41,"year":42,"session":26},"nurse-110-1-psychiatric-community-023","照顧罹患身體症狀及相關障礙症的病人，須特別評估隨著症狀表現而來的附帶收獲（secondary gain），下列何項描述較適當？",23,110,{"webId":44,"stem":45,"number":46,"year":42,"session":10},"nurse-110-2-psychiatric-community-037","臨床護理人員面對病人暴力行為時的心理反應與態度，下列敘述何者正確？",37,{"webId":48,"stem":49,"number":50,"year":51,"session":10},"nurse-111-2-psychiatric-community-075","承上題，林太太所需的支持性服務，下列何者最不適當？",75,111,{"webId":53,"stem":54,"number":55,"year":56,"session":57},"nurse-112-3-psychiatric-community-039","有關焚化法之敘述，下列何者最適當？",39,112,3,{"webId":59,"stem":60,"number":61,"year":62,"session":26},"nurse-114-1-psychiatric-community-033","根據Anderson及McFarlane以社區為夥伴的架構中，有關人口群體特性評估之內容，下列何者最不適當？",33,114,"2026-09-04",1788510717848]