[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-110-2-psychiatric-community-012":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-012","nurse-110-2-psychiatric-community-012",110,2,12,"有關 Benzodiazepine（BZD）的護理指導，下列何者最適當？",{"A":14,"B":15,"C":16,"D":17},"BZD 是代謝較快的藥物，將可以改善其記憶力","BZD 類藥物主要就是鎮靜安眠，無法用來抗焦慮","建議勿飲酒的主要原因是酒精促排尿，就會大量將 BZD 排出","長期服用 BZD 可能造成依賴，戒斷時宜逐漸減量","D",null,[],"本題考點在Benzodiazepine(BZD)的依賴性與戒斷處置。依藥理特性，BZD長期使用會產生生理與心理依賴，突然停藥可能引發戒斷症狀甚至癲癇發作，故停藥時需採漸進式減量，選項D正確。A BZD並非代謝快且長期使用反而可能損害記憶，不會改善記憶力；B BZD正是臨床常用的抗焦慮藥物，說「無法抗焦慮」與其主要適應症相反；C勸勿飲酒的真正原因是酒精與BZD皆為中樞神經抑制劑，併用會加乘呼吸抑制與鎮靜風險，而非酒精促排尿排出藥物，機轉解釋錯誤。","BZD透過強化GABA-A受體氯離子內流產生鎮靜、抗焦慮、肌肉鬆弛與抗癲癇作用。長期用藥→耐受性與依賴，驟停可致反彈焦慮、失眠、震顫乃至抽搐，故須逐步減量(tapering)。與酒精、鴉片類併用會加成中樞抑制，導致致命呼吸抑制。口訣「BZD要慢慢減、忌併酒」。可連結：GABA機轉、戒斷症候群、Flumazenil解毒。",[24,27,29,32],{"term":25,"count":26},"Benzodiazepine",3,{"term":28,"count":10},"戒斷症候群",{"term":30,"count":31},"藥物依賴",1,{"term":33,"count":31},"GABA受體",[35,39,44,48,52,57],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-110-2-psychiatric-community-013","初次入住精神科急性病房的李先生，擔心醫院伙食被人下毒，有被害妄想不願意用餐，下列何者護理措施最適當？",13,{"webId":40,"stem":41,"number":42,"year":43,"session":31},"nurse-111-1-psychiatric-community-029","有關於精神疾病診斷準則手冊（Diagnostic and statistical manual of mental disorders, DSM-5）對於「認知障礙症」診斷準則之敘述，下列何者正確？",29,111,{"webId":45,"stem":46,"number":47,"year":43,"session":10},"nurse-111-2-psychiatric-community-043","有關長期照顧十年計畫 2.0，A、B、C 級服務單位的敘述，下列何者最不適當？",43,{"webId":49,"stem":50,"number":31,"year":51,"session":26},"nurse-112-3-psychiatric-community-001","依據交流分析論（Transactional Analysis）所提出的人類自我狀態（ego state），護理師習慣性的對病人說：「為什麼你總是做錯，你應該……」、「你不可以……」，使得護病關係較為階層化，此為護理師下列何項自我狀態？",112,{"webId":53,"stem":54,"number":55,"year":56,"session":31},"nurse-114-1-psychiatric-community-005","護理師詢問病人「您幾歲？」，病人回答「38歲」，再繼續問病人「之前的工作服務多久？」，病人仍回答「38歲」，病人對之後的問題皆回答「38歲」。此現象屬於下列何種症狀？",5,114,{"webId":58,"stem":59,"number":60,"year":61,"session":31},"nurse-115-1-psychiatric-community-049","有關糖尿病的足部護理，衛生護理師應建議個案避免下列那些習慣？①穿拖鞋外出   ②每日用溫水泡腳10分鐘   ③睡覺時用電毯或熱水袋保暖足部   ④使用中性肥皂清洗足部",49,115,"2026-09-04",1788510730537]