[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-111-1-psychiatric-community-039":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-039","nurse-111-1-psychiatric-community-039",111,1,39,"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？",{"A":14,"B":15,"C":16,"D":17},"瞭解 clozapine 產生糖尿病的危險性，只需追蹤服藥後 1 年之空腹血糖即可","瞭解 clozapine 對尿酸的影響，建議採用低普林飲食","瞭解流口水是 clozapine 造成的代謝症候群問題之一，建議醫師變更藥物","瞭解 clozapine 對體重上升的影響，開始服藥後需持續提供病人營養及運動諮詢","D",null,[],"本題考點在 clozapine 體重／代謝副作用的長期護理。依代謝副作用管理原則，clozapine 顯著增加體重與代謝風險，開始服藥後須持續提供營養及運動諮詢以預防及控制代謝症候群，故選 D。考點在於辨識『長期、持續的生活型態介入』。A 認為只需追蹤服藥後 1 年空腹血糖即可，監測應在基準、數週、數月及後續定期進行，且不限單次一年，故錯；B 將問題導向尿酸與低普林飲食，代謝症候群關鍵在血糖、血脂與體重而非尿酸，方向錯誤；C 將流口水誤列為代謝症候群並據此建議換藥，流涎屬另一類副作用且不必然需換藥，歸類錯誤。故選 D。","抗精神病藥代謝監測建議：用藥前測基準體重／腰圍、血壓、空腹血糖與血脂，之後於數週、三個月及至少每年定期追蹤，體重增加者更頻繁。介入以飲食控制、規律運動、衛教與必要時調整藥物或加降糖／降脂處置為主軸，屬長期照護而非一次性。流涎可視情況以藥物處理，與代謝症候群分屬不同副作用。口訣：『clozapine 三大盯——白血球、體重代謝、心肌炎』。",[24,27,29,31,33],{"term":25,"count":26},"營養與運動諮詢",2,{"term":28,"count":10},"clozapine 體重增加",{"term":30,"count":10},"代謝副作用長期監測",{"term":32,"count":10},"生活型態介入",{"term":34,"count":10},"抗精神病藥代謝監測",[36,40,44,49,54,60],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-111-1-psychiatric-community-040","根據卡普蘭（Caplan, G.）危機理論，當個人常慣用的因應機轉失敗時，個體功能變得紊亂時，此為何項危機理論的分期？",40,{"webId":41,"stem":42,"number":43,"year":9,"session":26},"nurse-111-2-psychiatric-community-056","政府為提升嚴重特殊傳染性肺炎（COVID-19）疫苗接種率，透過里幹事協助老人預約鄰近的診所，並發通知單提醒接種時間與地點。此方式是應用健康信念模式的那些要素？①增加行動線索 ②降低行動障礙認知 ③增進疾病嚴重度的認知 ④提升自我效能",56,{"webId":45,"stem":46,"number":47,"year":48,"session":10},"nurse-112-1-psychiatric-community-070","有關社區健康評估中訪談重要人物之敘述，下列何者正確？",70,112,{"webId":50,"stem":51,"number":52,"year":53,"session":26},"nurse-113-2-psychiatric-community-008","趙女士，在病房內出現未滿足其需求時，便威脅要撞牆。下列護理措施何者最適宜？",8,113,{"webId":55,"stem":56,"number":57,"year":58,"session":59},"nurse-114-3-psychiatric-community-012","承上題，對楊小姐所進行之護理措施何者最不適當？",12,114,3,{"webId":61,"stem":62,"number":43,"year":63,"session":10},"nurse-106-1-psychiatric-community-056","下列何項最能描述四大非傳染性疾病（癌症、糖尿病、心血管疾病、慢性呼吸道疾病）的共同危險因素？",106,"2026-09-04",1788510736528]