[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-112-1-psychiatric-community-005":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":37,"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-112-1-精神科與社區衛生護理學-005","nurse-112-1-psychiatric-community-005",112,1,5,"有關精神疾病與神經傳導物質失調之因素假說，下列敘述何者正確？",{"A":14,"B":15,"C":16,"D":17},"思覺失調症負性症狀與多巴胺（dopamine）濃度過高有關","躁症發作與兒茶酚胺（catecholamine）過度分泌有關","憂鬱症與血清素（serotonin）分泌過高有關","焦慮症與 γ-氨基丁酸（γ-Aminobutyric acid, GABA）分泌過多有關","B",null,[],"本題考點在於精神疾病的神經傳導物質失調假說。依單胺假說，躁症發作與正腎上腺素、多巴胺等兒茶酚胺(catecholamine)過度分泌或活性過高有關，故 B 正確。A 錯在思覺失調症「負性」症狀多與多巴胺不足(尤其中皮質路徑)相關，多巴胺過高對應的是正性症狀。C 錯在憂鬱症是血清素(serotonin)「不足」而非過高，抗憂鬱劑正是提升血清素。D 錯在焦慮症與 GABA「分泌不足」有關，GABA 為抑制性傳導物質，濃度不足才使中樞過度興奮而焦慮。","單胺假說對照表：憂鬱=血清素\u002F正腎上腺素↓；躁症=兒茶酚胺↑；思覺失調正性=多巴胺↑、負性=多巴胺↓；焦慮=GABA↓。GABA 為主要抑制性神經傳導物質，BZD 類藥物即增強 GABA 作用而抗焦慮。記憶口訣「憂降躁升、焦少抑制」。",[24,27,30,33,35],{"term":25,"count":26},"血清素",4,{"term":28,"count":29},"單胺假說",3,{"term":31,"count":32},"GABA",2,{"term":34,"count":10},"兒茶酚胺catecholamine",{"term":36,"count":10},"多巴胺",[38,42,46,50,55,60],{"webId":39,"stem":40,"number":41,"year":9,"session":10},"nurse-112-1-psychiatric-community-006","有關電氣痙攣療法之敘述，下列何者最適宜？",6,{"webId":43,"stem":44,"number":45,"year":9,"session":32},"nurse-112-2-psychiatric-community-022","承上題，陳同學及父母擔心疾病又再復發，顯得焦慮不安。下列護理措施，何者最不適切？",22,{"webId":47,"stem":48,"number":49,"year":9,"session":29},"nurse-112-3-psychiatric-community-036","有關菸害防制法的規定，下列何者錯誤？",36,{"webId":51,"stem":52,"number":53,"year":54,"session":10},"nurse-114-1-psychiatric-community-034","有關自我效能（self-efficacy）之敘述，下列何者最不適當？",34,114,{"webId":56,"stem":57,"number":58,"year":59,"session":32},"nurse-115-2-psychiatric-community-038","未充分殺菌的醃漬食品及真空包裝所導致的食物中毒，下列何者是最可能的病原體？",38,115,{"webId":61,"stem":62,"number":45,"year":63,"session":10},"nurse-107-1-psychiatric-community-022","憂鬱症病人最容易發生自殺的期間為何？",107,"2026-09-04",1788510743184]