[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-109-2-psychiatric-community-011":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-109-2-精神科與社區衛生護理學-011","nurse-109-2-psychiatric-community-011",109,2,11,"王女士平日容易緊張且抱怨晚上睡不好，醫師開立 triazolam（Halcion）0.25 mg 睡前服用，護理師給予服藥注意事項之指導，下列何項正確？①注意暈眩並防跌倒 ②造成靜坐困難 ③避免同時吃葡萄柚 ④避免同時服用紅黴素（erythromycin）",{"A":14,"B":15,"C":16,"D":17},"①②③","①②④","①③④","②③④","C",null,[],"本題考點為 triazolam（Halcion）的用藥安全衛教。依 triazolam 屬短效 benzodiazepine 的藥理，會引起頭暈嗜睡，須注意暈眩並防跌倒（①）；又其經肝臟 CYP3A4 代謝，葡萄柚（③）與紅黴素（④）皆為該酵素抑制劑，併用會升高血中濃度、增強鎮靜，故須避免，答案①③④，選 C。②靜坐困難（akathisia）是抗精神病藥的錐體外副作用，與 benzodiazepine 無關，故排除；含②的 A、B、D 均錯誤。","benzodiazepine 作用於 GABA-A 受體增強抑制性傳導，副作用以鎮靜、跌倒、順向失憶、依賴為主。CYP3A4 是關鍵代謝路徑，葡萄柚、紅黴素、azole 類抗黴菌藥均為抑制劑，會使藥效與毒性上升。老人服短效安眠藥跌倒風險尤高。記憶：BZD 不會引起靜坐不能，那是抗精神病藥的招牌。",[24,27,30,32],{"term":25,"count":26},"benzodiazepine",3,{"term":28,"count":29},"triazolam",1,{"term":31,"count":29},"CYP3A4 交互作用",{"term":33,"count":29},"跌倒預防",[35,39,44,48,53,58],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-109-2-psychiatric-community-012","賴小姐 30 歲，不能接受男友要與別人結婚，覺得活著沒意義，不如一死，遂以割腕及服藥方式自殺。有關照護賴小姐的重點，下列何者正確？①房間儘量安排靠近護理站 ②避免與個案討論自殺行為 ③評估病人自殺危險程度，採取密切觀察 ④與病人訂定不自殺契約",12,{"webId":40,"stem":41,"number":42,"year":43,"session":29},"nurse-110-1-psychiatric-community-028","根據精神疾病診斷準則手冊（diagnostic and statistical manual of mental disorders：DSM-5），有關譫妄（delirium）的敘述，下列何者正確？",28,110,{"webId":45,"stem":46,"number":47,"year":43,"session":10},"nurse-110-2-psychiatric-community-042","有關現行衛生福利部組織之敘述，下列何者正確？",42,{"webId":49,"stem":50,"number":51,"year":52,"session":10},"nurse-111-2-psychiatric-community-080","有關中老年慢性病個案管理的目標，下列何者最不適當？",80,111,{"webId":54,"stem":55,"number":56,"year":57,"session":26},"nurse-112-3-psychiatric-community-044","有關維持兒童與青少年健康體位的護理指導，下列何者最適當？",44,112,{"webId":59,"stem":60,"number":61,"year":62,"session":29},"nurse-114-1-psychiatric-community-038","臺灣淨水廠的供水系統目前廣泛使用何種消毒法？",38,114,"2026-09-04",1788510717893]