[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-110-2-psychiatric-community-015":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":37,"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-015","nurse-110-2-psychiatric-community-015",110,2,15,"有關雙相情緒障礙（bipolar disorder）的病因，下列敘述何者正確？",{"A":14,"B":15,"C":16,"D":17},"與電解質不平衡無關","壓力或環境改變，不會提升發病率","與正腎上腺素（norepinephrine）及血清素（serotonin）濃度有關","與遺傳因素無關","C",null,[],"本題考點在雙相情緒障礙的生物病因。依神經生化理論，雙相情緒障礙與正腎上腺素(norepinephrine)及血清素(serotonin)等單胺類神經傳導物質濃度失衡有關，故選C正確。A情緒障礙與鋰鹽治療、電解質(如鈉)代謝有一定關聯，稱「與電解質不平衡無關」過於絕對且錯誤；B壓力與環境改變是明確的誘發與復發因子，說「不會提升發病率」與臨床證據相反；D雙相情緒障礙具高度遺傳傾向，家族史與雙生子研究均支持遺傳角色，說「與遺傳無關」錯誤。","雙相病因為多因子：單胺假說(NE、5-HT、DA失衡)、遺傳(一等親風險顯著升高)、神經內分泌與生理節律紊亂、壓力誘發。鋰鹽治療與鈉離子競爭轉運，故電解質與腎功能監測重要。口訣「躁鬱是基因加壓力、單胺失衡」。可連結：單胺假說、鋰鹽藥理、kindling效應、生理時鐘。",[24,27,30,32,34],{"term":25,"count":26},"血清素",4,{"term":28,"count":29},"雙相情緒障礙",3,{"term":31,"count":29},"正腎上腺素",{"term":33,"count":29},"單胺假說",{"term":35,"count":36},"遺傳因素",1,[38,42,47,51,55,60],{"webId":39,"stem":40,"number":41,"year":9,"session":10},"nurse-110-2-psychiatric-community-016","林小姐入院診斷為憂鬱症，常向護理師表示自己做錯事害得父母離婚，又因為自己不夠好，所以男友跟她分手。下列何項回應最適當？",16,{"webId":43,"stem":44,"number":45,"year":46,"session":36},"nurse-111-1-psychiatric-community-032","承上題，張先生懷疑家中地契被媳婦偷。下列何項護理措施最適當？",32,111,{"webId":48,"stem":49,"number":50,"year":46,"session":10},"nurse-111-2-psychiatric-community-046","有關出院準備服務的敘述，下列何者最不適當？",46,{"webId":52,"stem":53,"number":26,"year":54,"session":29},"nurse-112-3-psychiatric-community-004","從社區精神醫學的立場來看，下列何者為第一級的預防策略？",112,{"webId":56,"stem":57,"number":58,"year":59,"session":36},"nurse-114-1-psychiatric-community-008","有關代幣制度的敘述，下列何項不適宜？",8,114,{"webId":61,"stem":62,"number":10,"year":63,"session":10},"nurse-115-2-psychiatric-community-002","有關精神障礙病人在復元過程的敘述，下列何者正確？",115,"2026-09-04",1788510730560]