[{"data":1,"prerenderedAt":62},["ShallowReactive",2],{"q-nurse-111-1-psychiatric-community-024":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":32,"lastmod":61},"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-111-1-精神科與社區衛生護理學-024","nurse-111-1-psychiatric-community-024",111,1,24,"下列何種藥物，常用於治療強迫症病人的強迫行為？",{"A":14,"B":15,"C":16,"D":17},"抗焦慮劑—短效 benzodiazepine，例如 alprazolam（Xanax ® ）","抗憂鬱劑—選擇性血清素再回收抑制劑，例如 fluvoxamine（Luvox ® ）","中樞神經興奮劑，例如 methylphenidate（Ritalin ® ）","抗精神病藥物，例如 aripiprazole（Abilify ® ）","B",null,[],"本題考點在強迫症（OCD）的第一線藥物治療。依精神藥理學，OCD 與腦內血清素（serotonin）系統功能失調有關，故治療首選為選擇性血清素再回收抑制劑（SSRI），fluvoxamine 正是常用於強迫行為的 SSRI，選 B。考點在於辨識「作用機轉對應診斷」。A 短效 benzodiazepine（alprazolam）屬抗焦慮劑，只緩解急性焦慮、易依賴，非 OCD 主軸用藥；C methylphenidate 為中樞神經興奮劑，用於 ADHD，會加重焦慮與強迫；D aripiprazole 為抗精神病藥物，僅在 SSRI 反應不佳時作為輔助增強劑，並非首選單一用藥。故 B 最正確。","OCD 治療須高劑量、長療程（常需 8–12 週才顯效），劑量往往高於治療憂鬱症，這是與抗憂鬱使用的關鍵差異。SSRI 阻斷突觸前血清素轉運體（SERT），提升突觸間隙血清素濃度，逐步下調眼眶額葉—紋狀體—視丘迴路的過度活化。除藥物外，暴露不反應法（ERP）為實證心理治療核心，兩者合併效果最佳。記憶對比：OCD＝SSRI 高劑量長療程；恐慌／廣泛焦慮急性期＝BZD 短期橋接；ADHD＝興奮劑。",[24,26,28,30],{"term":25,"count":10},"選擇性血清素再回收抑制劑(SSRI)",{"term":27,"count":10},"強迫症血清素假說",{"term":29,"count":10},"fluvoxamine",{"term":31,"count":10},"OCD 高劑量長療程",[33,37,42,47,52,57],{"webId":34,"stem":35,"number":36,"year":9,"session":10},"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,{"webId":38,"stem":39,"number":40,"year":9,"session":41},"nurse-111-2-psychiatric-community-041","有關依賴指數（dependency ratio）的敘述，下列何者錯誤？",41,2,{"webId":43,"stem":44,"number":45,"year":46,"session":10},"nurse-112-1-psychiatric-community-055","下列何者屬於家庭情境性危機？①失業 ②事故傷害 ③中頭彩 ④空巢期",55,112,{"webId":48,"stem":49,"number":50,"year":51,"session":10},"nurse-113-1-psychiatric-community-043","社區護理師製作「遊民的一日」影片於媒體播放，以提升大眾對弱勢群體健康的認知，是屬於何種角色的展現？",43,113,{"webId":53,"stem":54,"number":55,"year":56,"session":41},"nurse-114-2-psychiatric-community-047","依據護理機構分類設置標準，有關護理之家之敘述，下列何者最不適當？",47,114,{"webId":58,"stem":59,"number":40,"year":60,"session":10},"nurse-106-1-psychiatric-community-041","歷史上社區衛生護理發展的最初模式為：",106,"2026-09-04",1788510736364]