[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-110-2-psychiatric-community-008":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"lastmod":62},"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-110-2-精神科與社區衛生護理學-008","nurse-110-2-psychiatric-community-008",110,2,8,"有關抗精神病藥物的敘述，下列何者藥理作用最能歸屬於「第二型及第三型多巴胺特別性接受器阻斷劑（specific D 2 \u002FD 3 antagonist）」？",{"A":14,"B":15,"C":16,"D":17},"Amisulpride（Solian ® ）","Olanzapine（Zyprexa ® ）","Risperidone（Risperdal ® ）","Ziprasidone（Geodon ® ）","A",null,[],"本題考點在非典型抗精神病藥的受體作用機轉分類。依藥理特性，Amisulpride(Solian®)選擇性阻斷D2\u002FD3多巴胺受體，屬「特定D2\u002FD3拮抗劑」，故選A。B Olanzapine(Zyprexa®)作用廣泛，涵蓋多巴胺、血清素、組織胺、膽鹼等多受體，屬多受體作用型；C Risperidone(Risperdal®)與D Ziprasidone(Geodon®)皆為血清素-多巴胺拮抗劑(SDA，5-HT2A\u002FD2雙重阻斷)，並非選擇性作用於D2\u002FD3，故不符合題目所述機轉。","非典型抗精神病藥依受體選擇性分類：SDA(血清素-多巴胺拮抗，如Risperidone、Ziprasidone)、MARTA(多受體作用，如Olanzapine、Clozapine)、選擇性D2\u002FD3拮抗(Amisulpride)。Amisulpride特色為劑量依賴的雙相作用，低劑量改善負性症狀、高劑量控制正性症狀。口訣「Amisulpride專打D2D3」。可連結：中腦邊緣多巴胺路徑、正性負性症狀、EPS風險。",[24,27,30,32],{"term":25,"count":26},"非典型抗精神病藥",3,{"term":28,"count":29},"Amisulpride",1,{"term":31,"count":29},"D2\u002FD3受體拮抗",{"term":33,"count":29},"多巴胺受體",[35,39,44,48,53,57],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-110-2-psychiatric-community-009","有關錐體外徑症候群之藥物副作用（extrapyramidal symptoms, EPS）的敘述，下列何者正確？",9,{"webId":40,"stem":41,"number":42,"year":43,"session":29},"nurse-111-1-psychiatric-community-025","王先生，診斷為廣泛性焦慮症，住院第一天顯得坐立不安、肌肉緊繃。有關此時會談的重點，下列何者最適當？",25,111,{"webId":45,"stem":46,"number":47,"year":43,"session":10},"nurse-111-2-psychiatric-community-039","護理人員與精神病人會談時，常用的治療技巧，下列何者正確？①全神貫注地傾聽 ②儘量不要使用「為什麼」的問句 ③運用面質技巧盡速建立護病關係 ④運用澄清的技巧了解病人的想法",39,{"webId":49,"stem":50,"number":51,"year":52,"session":10},"nurse-112-2-psychiatric-community-077","陳老太太過去一年在沒有改變生活習慣與減重下，體重從 65 公斤降到 63 公斤，在沒有手扶支撐下只能連續站立坐下 3 次，自覺一個月約有 2～3 日覺得懶懶的不想做家事。依據老年衰弱評估量表（Study of Osteoporotic Fractures, SOF），陳老太太屬於下列何種衰弱程度？",77,112,{"webId":54,"stem":55,"number":29,"year":56,"session":29},"nurse-114-1-psychiatric-community-001","林小姐常責怪自己，認為凡事過錯都是自己造成的。下列何項心理防衛機轉最適合說明林小姐的行為？",114,{"webId":58,"stem":59,"number":60,"year":61,"session":29},"nurse-115-1-psychiatric-community-045","依據學校衛生法，國民中小學設施設備基準規範，有關學校健康環境之敘述，下列何者最適當？",45,115,"2026-09-04",1788510730496]