[{"data":1,"prerenderedAt":62},["ShallowReactive",2],{"q-nurse-110-1-psychiatric-community-002":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"lastmod":61},"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-110-1-精神科與社區衛生護理學-002","nurse-110-1-psychiatric-community-002",110,1,2,"當病人服用下列何種藥物時，護理師需教導病人有關體重增加之副作用？",{"A":14,"B":15,"C":16,"D":17},"Alprazolam（Xanax）","Propranolol（Inderal）","Olanzapine（Zyprexa）","Venlafaxine（Efexor）","C",null,[],"本題考點是抗精神病藥物的代謝副作用。考點在於 Olanzapine(Zyprexa)屬非典型抗精神病藥,易造成食慾增加、體重上升與代謝症候群,故用藥時須衛教體重增加的副作用,選 C。選項 A 的 Alprazolam 是抗焦慮的苯二氮平類,主要副作用為嗜睡、依賴;B 的 Propranolol 是乙型受體阻斷劑,可能造成心跳變慢、疲倦;D 的 Venlafaxine 是血清素正腎上腺素再回收抑制劑,較常見的是噁心、血壓上升,體重增加非其主要衛教重點。判斷關鍵在於辨識非典型抗精神病藥的代謝負擔。","非典型抗精神病藥雖降低錐體外副作用,卻帶來代謝風險,其中 Olanzapine 與 Clozapine 增重與代謝症候群最明顯,機轉與拮抗組織胺 H1 與血清素 5-HT2C 受體、增加食慾有關。用藥期間須監測體重、腰圍、血糖與血脂。記憶:『非典型換來代謝擔,奧氮平增重最有感』。各藥副作用對比:苯二氮平嗜睡依賴、乙型阻斷劑心跳慢、SNRI 升血壓噁心。可連結代謝症候群診斷指標與抗精神病藥錐體外副作用一併複習。",[24,27,29,31],{"term":25,"count":26},"非典型抗精神病藥",3,{"term":28,"count":10},"Olanzapine",{"term":30,"count":10},"體重增加與代謝症候群",{"term":32,"count":10},"H1與5-HT2C拮抗",[34,37,41,46,51,56],{"webId":35,"stem":36,"number":26,"year":9,"session":10},"nurse-110-1-psychiatric-community-003","黃先生，55 歲，被診斷為思覺失調症，與案母同住，服藥不規則，須由案母提醒他吃藥。一個月前，案母因病過世，黃先生認為鄰居透過社區的 LINE 群組說他的壞話，因此作勢要攻擊鄰居。黃先生最可能有以下何種症狀？",{"webId":38,"stem":39,"number":40,"year":9,"session":11},"nurse-110-2-psychiatric-community-019","沈女士為慢性精神病病人，平日都可依醫囑按時服用抗精神病藥物，但情緒仍常受幻聽干擾而時有波動，護理師提供的護理措施，下列何者錯誤？",19,{"webId":42,"stem":43,"number":44,"year":45,"session":10},"nurse-111-1-psychiatric-community-033","有關輕度失智症病人的護理措施，下列何者最適當？",33,111,{"webId":47,"stem":48,"number":49,"year":50,"session":10},"nurse-112-1-psychiatric-community-071","下列何者為學生健康體能四大要素中最重要的一項？",71,112,{"webId":52,"stem":53,"number":54,"year":55,"session":11},"nurse-113-2-psychiatric-community-015","有關心理防衛機轉，下列敘述何者正確？",15,113,{"webId":57,"stem":58,"number":59,"year":60,"session":26},"nurse-114-3-psychiatric-community-009","有關創傷後壓力症（posttraumatic stress disorder），下列敘述何者最不適當？",9,114,"2026-09-04",1788510722379]