[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-110-2-psychiatric-community-009":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":36,"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-110-2-精神科與社區衛生護理學-009","nurse-110-2-psychiatric-community-009",110,2,9,"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？",{"A":14,"B":15,"C":16,"D":17},"開始使用抗精神病藥物治療的最初 3～4 天，最常產生的 EPS 是靜坐不能（akathisia）","開始使用抗精神病藥物治療 1 個月後，病人最常產生的 EPS 是急性肌肉緊張異常（acute dystonia）","開始使用抗精神病藥物治療 1 個月內，通常會出現遲發性不自主運動（tardive dyskinesia, TD）","開始使用抗精神病藥物治療的前 3 個月，就可能產生類似巴金森氏症的運動不能、表情呆板及手抖副作用","D",null,[],"本題考點在錐體外徑症候群(EPS)的類型與時序。依EPS發生時程，類巴金森氏症特徵為運動不能、面具臉、齒輪狀僵硬與手抖，好發於用藥後數週至前3個月內，選項D的描述與時序皆正確，故選D。A靜坐不能(akathisia)多在用藥後數天至數週，非最初3-4天最常見；B急性肌肉張力異常(acute dystonia)最早出現，常在數小時至數天，而非1個月後；C遲發性不自主運動(TD)是長期用藥數月至數年後才出現，非1個月內，時序均錯誤。","EPS四型依時序記憶「張力→靜坐→巴金森→遲發」：急性張力異常(數小時-數天)→靜坐不能(數天-數週)→類巴金森(數週-數月)→遲發性不自主運動(數月-數年)。前三者屬急性可逆，抗膽鹼藥(如Benztropine)可緩解；TD屬慢性、常不可逆，減藥反可能加重。口訣「早張力、晚遲發」。可連結：多巴胺阻斷、黑質紋狀體路徑、抗膽鹼劑處置。",[24,27,29,32,34],{"term":25,"count":26},"錐體外徑症候群",3,{"term":28,"count":10},"遲發性不自主運動",{"term":30,"count":31},"類巴金森氏症",1,{"term":33,"count":31},"急性肌肉張力異常",{"term":35,"count":31},"EPS時序",[37,41,46,50,55,59],{"webId":38,"stem":39,"number":40,"year":9,"session":10},"nurse-110-2-psychiatric-community-010","有關精神科護理中認知治療的敘述，下列何者最適當？",10,{"webId":42,"stem":43,"number":44,"year":45,"session":31},"nurse-111-1-psychiatric-community-026","有關評估假性失智症（pseudodementia）與失智症之臨床差異，下列何者正確？①假性失智症多半有比較清楚的發病時間 ②假性失智症常抱怨認知障礙 ③失智症行為與認知障礙的嚴重度吻合 ④失智症對問話老是回答「不知道」、「忘記了」",26,111,{"webId":47,"stem":48,"number":49,"year":45,"session":10},"nurse-111-2-psychiatric-community-040","有關慢性精神病人四段七級健康促進模式的主要策略，下列何者正確？",40,{"webId":51,"stem":52,"number":53,"year":54,"session":10},"nurse-112-2-psychiatric-community-078","周女士 BMI＝26（kg\u002Fm 2 ），腰圍 88 公分且無規律運動習慣，想要利用運動來減重，下列何者對她減重的運動指導最為正確？①以有氧運動最佳 ②每週至少需進行 150 分鐘以上中強度身體活動 ③從事高強度的運動，才能達到減重效果 ④騎一般速度腳踏車比跑步消耗更多熱量",78,112,{"webId":56,"stem":57,"number":10,"year":58,"session":31},"nurse-114-1-psychiatric-community-002","精神醫學史上，主張不以鐵鍊限制病人行動，奠定人道主義精神照護的代表性人物，下列何者正確？",114,{"webId":60,"stem":61,"number":62,"year":63,"session":31},"nurse-115-1-psychiatric-community-046","有關失智社區服務據點的服務項目，下列何者最不適當？",46,115,"2026-09-04",1788510730509]