[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-110-1-psychiatric-community-005":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":35,"lastmod":64},"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-005","nurse-110-1-psychiatric-community-005",110,1,5,"在生物化學研究中，憂鬱症病人最可能缺乏那些神經傳導物質？",{"A":14,"B":15,"C":16,"D":17},"多巴胺（dopamine）和甲狀腺素（thyroxine）","γ-胺基丁酸（γ-aminobutyric acid; GABA）和乙醯膽鹼（acetylcholine）","皮質醇（cortisol）和腎上腺素（epinephrine）","血清素（serotonin）和正腎上腺素（norepinephrine）","D",null,[],"本題考點是憂鬱症的生物化學致病假說。考點在於單胺假說指出憂鬱症與腦內單胺類神經傳導物質功能不足有關,主要涉及血清素與正腎上腺素的缺乏,故選 D。選項 A 甲狀腺素屬內分泌荷爾蒙而非核心致病傳導物質;B 的 GABA 與乙醯膽鹼與焦慮、認知較相關,非憂鬱症的主要缺乏對象;C 的皮質醇與腎上腺素反映壓力反應,憂鬱症常見皮質醇升高而非缺乏。判斷關鍵在於記住憂鬱症單胺假說的兩大主角是血清素與正腎上腺素。","憂鬱症單胺假說主張突觸間血清素、正腎上腺素與多巴胺功能低下導致情緒低落,這也是抗憂鬱藥物的作用基礎:選擇性血清素再回收抑制劑提升血清素,SNRI 同時提升血清素與正腎上腺素,三環抗憂鬱劑與單胺氧化酶抑制劑亦作用於此系統。記憶:『血清素+正腎上腺素=情緒雙引擎』。憂鬱症也常見下視丘腦垂體腎上腺軸過度活化使皮質醇升高。可連結各類抗憂鬱藥機轉、起效時間與血清素症候群一併複習。",[24,27,30,33],{"term":25,"count":26},"血清素",4,{"term":28,"count":29},"正腎上腺素",3,{"term":31,"count":32},"憂鬱症單胺假說",2,{"term":34,"count":10},"抗憂鬱藥機轉",[36,40,44,49,54,59],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-110-1-psychiatric-community-006","對有聽幻覺（auditory hallucination）、被害妄想（delusion of persecution）的病人進行溝通時，下列回應何者較適當？",6,{"webId":41,"stem":42,"number":43,"year":9,"session":32},"nurse-110-2-psychiatric-community-022","劉先生為思覺失調症病人，身體具異味，衣著髒亂，無法自行清潔身體，針對劉先生自我照顧功能退化的護理，下列何者正確？",22,{"webId":45,"stem":46,"number":47,"year":48,"session":10},"nurse-111-1-psychiatric-community-036","照顧精神護理之家的失智症住民，下列何項護理措施最適當？",36,111,{"webId":50,"stem":51,"number":52,"year":53,"session":10},"nurse-112-1-psychiatric-community-074","根據政府長期照顧十年計畫 2.0，下列那一類人不符合使用服務資源？",74,112,{"webId":55,"stem":56,"number":57,"year":58,"session":32},"nurse-113-2-psychiatric-community-018","有關物質使用障礙症病人的護理措施，下列敘述何者不適切？",18,113,{"webId":60,"stem":61,"number":62,"year":63,"session":29},"nurse-114-3-psychiatric-community-012","承上題，對楊小姐所進行之護理措施何者最不適當？",12,114,"2026-09-04",1788510722415]