[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-111-1-psychiatric-community-038":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":35,"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-111-1-精神科與社區衛生護理學-038","nurse-111-1-psychiatric-community-038",111,1,38,"王小姐，45 歲，體重適中，是居住在社區的思覺失調症病人，因服用抗精神病藥物 clozapine，之後發現有代謝症候群。下列敘述何者最適當？",{"A":14,"B":15,"C":16,"D":17},"clozapine 出現代謝症候群的症狀，包括嚴重流口水、白血球缺乏等","立即停藥是控制代謝症候群的最好策略","應先釐清代謝症候群是遺傳性或非遺傳性","先測量病人的尿酸做為基準值，有利後續持續追蹤","C",null,[],"本題考點在 clozapine 引發代謝症候群的處置態度。依用藥安全與個別化評估原則，發現代謝症候群後應先釐清其為遺傳性（家族史、既有體質）或非遺傳性（藥物所致），以利後續處置決策，故選 C。考點在於辨識『先評估病因再處置』。A 敘述將『嚴重流口水、白血球缺乏』歸為代謝症候群症狀，實則流涎與顆粒性白血球缺乏是 clozapine 其他副作用，非代謝症候群範疇，故錯；B 立即停藥並非最佳策略，思覺失調症穩定控制重要，應以生活型態與監測管理，貿然停藥恐復發；D 代謝症候群監測指標為血糖、血脂、腰圍、血壓，而非尿酸，故錯。故選 C。","clozapine 為非典型抗精神病藥中代謝副作用最顯著者，可致體重增加、胰島素阻抗、血糖與血脂上升，構成代謝症候群五要素（腰圍、三酸甘油酯、HDL、血壓、空腹血糖）。同時具特有風險：顆粒性白血球缺乏（需定期監測白血球）、流涎、癲癇閾值下降、心肌炎。處置以定期監測與生活型態介入為主，而非輕易停藥（停藥復發率高）。尿酸屬痛風／腎臟指標，非代謝症候群診斷項目。",[24,27,29,31,33],{"term":25,"count":26},"顆粒性白血球缺乏",2,{"term":28,"count":10},"clozapine 代謝症候群",{"term":30,"count":10},"代謝症候群診斷指標",{"term":32,"count":10},"個別化病因評估",{"term":34,"count":10},"用藥安全監測",[36,40,44,49,54,60],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-111-1-psychiatric-community-039","承上題，對王小姐因藥物副作用產生的代謝症候群，下列何項護理措施最適當？",39,{"webId":41,"stem":42,"number":43,"year":9,"session":26},"nurse-111-2-psychiatric-community-055","護理師進行社區評估，運用政府或相關機構的統計資料，是屬於何種評估方法？",55,{"webId":45,"stem":46,"number":47,"year":48,"session":10},"nurse-112-1-psychiatric-community-069","下列何者屬於社區無形資源？①社區意識 ②人力資源 ③文化規範 ④社區凝聚力 ⑤物力資源",69,112,{"webId":50,"stem":51,"number":52,"year":53,"session":26},"nurse-113-2-psychiatric-community-007","有關家庭治療，下列敘述何者最適切？",7,113,{"webId":55,"stem":56,"number":57,"year":58,"session":59},"nurse-114-3-psychiatric-community-011","楊小姐，診斷第一型雙相情緒障礙症（bipolar I disorder），說話滔滔不絕有意念飛躍現象，情緒高亢，易怒不安，吃飯不專心，洗澡洗頭易分心，入睡困難，近日曾與陌生人發生性行為。下列何項是楊小姐之主要健康問題？①自我照顧能力缺失 ②潛在危險性對自我的暴力行為 ③思考過程改變 ④睡眠型態紊亂",11,114,3,{"webId":61,"stem":62,"number":43,"year":63,"session":10},"nurse-106-1-psychiatric-community-055","有關世界衛生組織（WHO）的描述，下列何者錯誤？",106,"2026-09-04",1788510736522]