[{"data":1,"prerenderedAt":62},["ShallowReactive",2],{"q-nurse-112-1-psychiatric-community-006":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":11},"nurse-112-1-精神科與社區衛生護理學-006","nurse-112-1-psychiatric-community-006",112,1,6,"有關電氣痙攣療法之敘述，下列何者最適宜？",{"A":14,"B":15,"C":16,"D":17},"可使憂鬱症病人的血清素與正腎上腺素濃度下降","恐慌症是電氣痙攣療法的最主要適應症","單側式電極片放置於優勢大腦額顳葉交接處","治療前病人須午夜後禁食及簽署同意書","D",null,[],"本題考點在於電氣痙攣療法(ECT)的治療前準備與適應症。依 ECT 標準流程，治療需全身麻醉，故病人須自午夜後禁食以防麻醉中嘔吐吸入，且屬侵入性治療須簽署知情同意書，故 D 最適宜。A 錯在 ECT 是「提升」而非降低血清素與正腎上腺素濃度以改善憂鬱。B 錯在 ECT 最主要適應症為嚴重或藥物無效的重鬱症與有自殺急迫性者，而非恐慌症。C 錯在單側電極應放在「非優勢」半球以減少記憶損害，且位置為額顳部而非交接處描述。","ECT 誘發全身性癲癇放電以調節單胺系統，禁食(NPO)與同意書是麻醉常規。單側置放非優勢半球可降低短暫記憶副作用，是安全性設計考點。主適應症：重鬱、木僵、藥物難治型、高自殺風險，與電療副作用一併是高頻考題。",[24,26,28,30],{"term":25,"count":11},"知情同意",{"term":27,"count":10},"電氣痙攣療法ECT",{"term":29,"count":10},"術前禁食NPO",{"term":31,"count":10},"非優勢半球電極",[33,37,42,47,52,57],{"webId":34,"stem":35,"number":36,"year":9,"session":10},"nurse-112-1-psychiatric-community-007","有關電氣痙攣治療（electroconvulsive therapy, ECT）之併發症，主要為下列何項？①頭痛 ②腦出血 ③呼吸暫停 ④短暫記憶喪失",7,{"webId":38,"stem":39,"number":40,"year":9,"session":41},"nurse-112-2-psychiatric-community-023","邊緣型人格障礙症病人有可能將護理師理想化或是言詞貶損護理師，有關此臨床特徵的敘述，下列何項最適切？",23,2,{"webId":43,"stem":44,"number":45,"year":9,"session":46},"nurse-112-3-psychiatric-community-037","根據渥太華健康促進憲章五大行動綱領，為提升成人戒菸比率，鼓勵醫療院所提供戒菸門診，最符合下列何種行動綱領的方針？",37,3,{"webId":48,"stem":49,"number":50,"year":51,"session":10},"nurse-114-1-psychiatric-community-035","依據加拿大衛生福利部於1974年提出的影響健康的四大要素，下列那一項對健康的影響最大？",35,114,{"webId":53,"stem":54,"number":55,"year":56,"session":41},"nurse-115-2-psychiatric-community-039","會影響所有族群健康的空氣品質指標（AQI）其數值範圍，下列何者正確？",39,115,{"webId":58,"stem":59,"number":40,"year":60,"session":10},"nurse-107-1-psychiatric-community-023","有關心理防禦機轉之敘述，下列何者正確？",107,"2026-09-04",1788510743188]