[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-111-2-psychiatric-community-006":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"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":26},"nurse-111-2-精神科與社區衛生護理學-006","nurse-111-2-psychiatric-community-006",111,2,6,"有關抗精神病藥物的副作用，下列敘述何者最適當？",{"A":14,"B":15,"C":16,"D":17},"可能引起血壓下降，病人臥姿改為立姿動作應緩慢及注意安全","靜坐不能副作用主要發生在服用抗精神病藥物達兩年以上的病人","服用第一代抗精神病藥物較第二代抗精神病藥物容易發生代謝症候群","若發生類巴金森氏症的錐體外徑症候群副作用，應立即停藥觀察","A",null,[],"本題考點為抗精神病藥物的副作用與處置。抗精神病藥物具阻斷交感神經 α 受體作用,易引起姿勢性低血壓,故 A 敘述「可能引起血壓下降,由臥姿改立姿動作應緩慢並注意安全」正確,為答案。B 錯在靜坐不能(akathisia)屬急性錐體外徑副作用,多在用藥早期數天至數週出現,而非服藥兩年以上;C 錯在代謝症候群(體重增加、血糖血脂異常)較常見於第二代(非典型)抗精神病藥物,而非第一代;D 錯在出現類巴金森氏症的錐體外徑症候群時,處置應調整劑量或給予抗膽鹼藥物,不宜貿然「立即停藥」。考點在於辨識姿勢性低血壓的正確衛教及釐清各副作用的發生時機與藥物世代差異。","抗精神病藥錐體外徑副作用(EPS)出現時序記法:急性肌張力不全(數小時至數天)→靜坐不能(數天至數週)→類巴金森(數週至數月)→遲發性運動障礙(數月至數年)。第二代藥物 EPS 較少但代謝症候群風險高。姿勢性低血壓源於 α 受體阻斷,衛教緩慢變換姿勢是常見安全措施。",[24,27,30,32],{"term":25,"count":26},"代謝症候群",8,{"term":28,"count":29},"抗精神病藥物",3,{"term":31,"count":29},"錐體外徑症候群",{"term":33,"count":10},"姿勢性低血壓",[35,39,45,49,54,59],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-111-2-psychiatric-community-007","有關 Benzodiazepine(BZD)類藥物，下列注意事項敘述何者最適當？",7,{"webId":40,"stem":41,"number":42,"year":43,"session":44},"nurse-112-1-psychiatric-community-023","謝女士因恐慌症（Panic Disorder）入院，今早開始感覺心跳加速、呼吸困難、頭暈、胸悶，前去向護理師求助，下列護理處置何者最為優先？",23,112,1,{"webId":46,"stem":47,"number":48,"year":43,"session":10},"nurse-112-2-psychiatric-community-037","有關急性精神科病房暴力的敘述，下列何者最適切？",37,{"webId":50,"stem":51,"number":52,"year":53,"session":29},"nurse-113-3-psychiatric-community-005","王先生，20 歲，診斷妥瑞氏症，護理師問他：「你今年幾歲？」王先生答：「幾歲？」接著問：「現在做什麼工作？」王先生答：「什麼工作？」這是屬於下列那一種症狀？",5,113,{"webId":55,"stem":56,"number":57,"year":58,"session":44},"nurse-115-1-psychiatric-community-009","有關思覺失調症病因之描述，下列何項正確？①負性症狀主要與多巴胺活動量過高有關                  ②父母為高情緒表達且互動僵化      ③其發病與遺傳因素有相關           ④病人的自我（ego）功能異常",9,115,{"webId":60,"stem":61,"number":42,"year":62,"session":10},"nurse-106-2-psychiatric-community-023","有關自殺防治的敘述，下列何者正確？",106,"2026-09-04",1788510739762]