[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-110-1-psychiatric-community-015":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":32,"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":10},"nurse-110-1-精神科與社區衛生護理學-015","nurse-110-1-psychiatric-community-015",110,1,15,"牛先生，最近被診斷為憂鬱症，醫師開立服用 sertraline（Zoloft ® ）藥物治療，有關 Zoloft 之敘述，下列何者正確？①選擇性血清素回收抑制劑（SSRIs） ②血清素－正腎上腺素回收抑制劑（SNRIs） ③一般持續服用 2 週以上才有療效出現 ④服藥會有嗜睡、噁心嘔吐等副作用",{"A":14,"B":15,"C":16,"D":17},"①②③","①②④","①③④","②③④","C",null,[],"本題考點為抗憂鬱劑sertraline(Zoloft)的藥理分類與用藥衛教。考點在於辨識其屬SSRI、需2週以上起效、有腸胃與嗜睡副作用,故選①③④(C)。依藥理分類,sertraline為選擇性血清素回收抑制劑(SSRI),藉抑制突觸前血清素再回收提升濃度(①正確)。SSRI須持續服用約2週以上血中濃度累積後才顯療效(③正確),初期常見噁心嘔吐、嗜睡等副作用(④正確)。②錯在把它歸為血清素-正腎上腺素回收抑制劑(SNRI,如venlafaxine),分類錯誤。故排除含②的A、B、D。","SSRI的機轉是選擇性阻斷血清素轉運體(SERT),不明顯作用於正腎上腺素或多巴胺,故副作用較三環抗憂鬱劑輕。療效延遲2至4週的原因與突觸後受體向下調節、神經可塑性變化有關,而非單純血中濃度。用藥衛教重點:症狀改善需時間、不可自行停藥、注意腸胃不適與初期焦躁,以及合併其他血清素藥物時的血清素症候群風險。對比記憶——SSRI只管血清素,SNRI(venlafaxine、duloxetine)血清素加正腎上腺素雙管,本題②正是用SNRI來混淆分類。",[24,26,28,30],{"term":25,"count":10},"SSRI",{"term":27,"count":10},"血清素回收抑制",{"term":29,"count":10},"療效延遲2週",{"term":31,"count":10},"SNRI分類鑑別",[33,37,42,47,52,57],{"webId":34,"stem":35,"number":36,"year":9,"session":10},"nurse-110-1-psychiatric-community-016","王小姐診斷為妄想症（delusional disorder），認為自己的伙食被下毒，而拒絕食用，下列護理措施何者最適切？",16,{"webId":38,"stem":39,"number":40,"year":9,"session":41},"nurse-110-2-psychiatric-community-032","有關臺灣老年精神健康問題與疾病，下列敘述何者正確？",32,2,{"webId":43,"stem":44,"number":45,"year":46,"session":10},"nurse-111-1-psychiatric-community-046","某護理師欲探討罕見病例的危險因子，下列何種研究方法最適當？",46,111,{"webId":48,"stem":49,"number":50,"year":51,"session":41},"nurse-112-2-psychiatric-community-004","有關鋰鹽的敘述，下列何者正確？",4,112,{"webId":53,"stem":54,"number":55,"year":56,"session":41},"nurse-113-2-psychiatric-community-028","有關篩檢工具效度的敘述，下列何者最適當？",28,113,{"webId":58,"stem":59,"number":60,"year":61,"session":62},"nurse-114-3-psychiatric-community-022","有關妄想症（delusional disorder），下列敘述何者最適當？",22,114,3,"2026-09-04",1788510722527]