[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-110-2-psychiatric-community-034":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"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-110-2-精神科與社區衛生護理學-034","nurse-110-2-psychiatric-community-034",110,2,34,"有關罹患注意力缺陷過動症（ADHD）學齡期兒童的治療計畫，下列敘述何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"可使用中樞神經興奮劑 Ritalin ○ R ，來改善其衝動及活動量過高之行為","為避免病情復發，中樞神經興奮劑宜長期服用，絕對不可停藥","可合併使用藥物治療及感覺統合治療，以增加治療效益","急性住院期間宜安排不具攻擊性的活動","B",null,[],"本題考點在注意力缺陷過動症（ADHD）藥物治療的正確衛教觀念。考點在於中樞神經興奮劑（如 Methylphenidate, Ritalin）雖能改善衝動與過動，但用藥需依症狀與年齡動態調整，並非終身且絕不可停藥，部分兒童青春期後症狀改善即可減停，選項 B 敘述「絕對不可停藥」過於絕對且錯誤，故選 B。選項 A 正確說明興奮劑作用機轉；選項 C 藥物合併感覺統合等非藥物治療可提升療效；選項 D 急性住院安排非攻擊性活動以減少刺激，皆屬正確措施，故非本題答案。","Methylphenidate 屬中樞神經興奮劑，作用在增加突觸間 dopamine 與 norepinephrine，弔詭地讓過動兒專注力提升。用藥採「假日或假期停藥（drug holiday）」概念以評估是否仍需服用、減少對生長與食慾抑制的影響，正說明「終身不可停藥」為錯誤。記憶對比：興奮劑改善核心症狀，行為治療與感覺統合處理共病與適應。可連結概念：藥物假期、生長監測、共病對立反抗症。",[24,26,29,31],{"term":25,"count":10},"感覺統合治療",{"term":27,"count":28},"ADHD 注意力缺陷過動症",1,{"term":30,"count":28},"中樞神經興奮劑 Methylphenidate",{"term":32,"count":28},"藥物假期",[34,38,43,47,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-110-2-psychiatric-community-035","許小姐 35 歲，反覆住院的情感性精神病病人。近日剛從急性病房轉慢性病房，家屬可接受病人返家同住，只是擔心病人病情惡化，病人有工作及復健潛能。下列有關病人的出院準備何者較適當？",35,{"webId":39,"stem":40,"number":41,"year":42,"session":28},"nurse-111-1-psychiatric-community-051","下列何種評價是在計畫執行完成後，用以衡量該計畫的價值？",51,111,{"webId":44,"stem":45,"number":46,"year":42,"session":10},"nurse-111-2-psychiatric-community-065","林先生與父親、太太和二位幼稚園女兒同住。請問林家是屬於何種家庭類型？",65,{"webId":48,"stem":49,"number":50,"year":51,"session":52},"nurse-112-3-psychiatric-community-023","社區心理衛生護理人員會主動關心社區中需要健康服務的民眾，利用工具與會談技巧，篩檢社區中的高危險群，以達早期發現的目的。此護理人員執行角色最符合下列何者？",23,112,3,{"webId":54,"stem":55,"number":56,"year":57,"session":28},"nurse-114-1-psychiatric-community-027","有關全民健康保險的敘述，下列何者最不適當？",27,114,{"webId":59,"stem":60,"number":61,"year":62,"session":10},"nurse-115-2-psychiatric-community-021","李先生，45 歲，獨居，目前住院已滿 2 個月，曾有干擾家庭與社區的問題，家屬表示無法督促就醫，出院準備服務的評估發現能自我照顧但無病識感，無工作動機，出院後就不想吃藥，不會主動就醫。下列何項是出院準備服務轉介的首選？",21,115,"2026-09-04",1788510730793]