[{"data":1,"prerenderedAt":62},["ShallowReactive",2],{"q-nurse-112-1-psychiatric-community-008":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"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":26},"nurse-112-1-精神科與社區衛生護理學-008","nurse-112-1-psychiatric-community-008",112,1,8,"有關情緒穩定劑 Valproic Acid（Depakine ® ）的敘述，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"主要用於預防鬱症的治療","常見皮膚紅疹的過敏反應，但少有體重增加的副作用","其穩定情緒之作用機轉為增加抑制性神經傳導物質 GABA 的濃度","有效成人每日劑量約 500 mg，且血中濃度需達 1.5～2.0 μg\u002FL","C",null,[],"本題考點在於情緒穩定劑 Valproic Acid 的藥理與副作用。依其作用機轉，Valproic Acid 透過增加抑制性神經傳導物質 GABA 的濃度而穩定情緒，故 C 正確。A 錯在它主要用於「躁症」與雙相情緒障礙的躁期預防，而非鬱症。B 錯在其常見副作用反而包含體重增加，且皮膚紅疹較常見於 Lamotrigine 或 Carbamazepine。D 錯在有效血中濃度標準約 50–100 μg\u002FmL，且劑量與濃度單位與數值描述皆不符臨床標準。","Valproic Acid(Depakine)增強 GABA、抑制電位閘控鈉離子通道而穩定神經。治療血中濃度 50–100 μg\u002FmL 是常考數字。副作用：體重增加、肝毒性、血小板下降、致畸(神經管缺損)。與 Lithium 相比不需頻繁驗腎功能但需監測肝功能與血象。",[24,27,29,32],{"term":25,"count":26},"情緒穩定劑",3,{"term":28,"count":26},"治療血中濃度",{"term":30,"count":31},"GABA",2,{"term":33,"count":10},"Valproic Acid",[35,39,43,47,52,57],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-112-1-psychiatric-community-009","協助病人規則服用 Lithium Carbonate，下列措施何者最不適宜？",9,{"webId":40,"stem":41,"number":42,"year":9,"session":31},"nurse-112-2-psychiatric-community-025","陳先生，近三個月多次忽然間感到胸痛、心悸、發抖、透不過氣，失去現實感等症狀，可在幾分鐘後緩解，經各項身體檢查顯示並無生理疾病，但之後陳先生仍持續擔心症狀會再度發作並死亡。下列敘述何者為陳先生最可能的診斷？",25,{"webId":44,"stem":45,"number":46,"year":9,"session":26},"nurse-112-3-psychiatric-community-039","有關焚化法之敘述，下列何者最適當？",39,{"webId":48,"stem":49,"number":50,"year":51,"session":10},"nurse-114-1-psychiatric-community-037","有關水媒疾病之敘述，下列何者最不適當？",37,114,{"webId":53,"stem":54,"number":55,"year":56,"session":31},"nurse-115-2-psychiatric-community-041","在推展或擬定原住民健康相關政策時，下列何者最不適當？",41,115,{"webId":58,"stem":59,"number":42,"year":60,"session":10},"nurse-107-1-psychiatric-community-025","有關蘇小姐因強迫症嚴重住院治療，常出現重複洗手行為，下列治療策略何者最適切？",107,"2026-09-04",1788510743213]