[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-112-1-psychiatric-community-009":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"lastmod":62},"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-009","nurse-112-1-psychiatric-community-009",112,1,9,"協助病人規則服用 Lithium Carbonate，下列措施何者最不適宜？",{"A":14,"B":15,"C":16,"D":17},"告知病人不規則服藥會增加疾病復發率","鼓勵病人大量喝水以改善藥物副作用","說明疾病病因、症狀、藥物作用及副作用","鼓勵家屬參與病人藥物治療","B",null,[],"本題考點在於鋰鹽(Lithium Carbonate)服藥衛教中的水分與鈉鹽平衡原則。依鋰鹽藥動學，鋰與鈉在腎小管競爭再吸收，過量飲水或低鈉會改變鋰的排除，反而影響血中濃度並增加中毒風險，故「鼓勵大量喝水以改善副作用」最不適宜，選 B。A、C、D 皆為適當衛教：說明不規則服藥會提高復發率、完整解釋病因症狀與藥物作用副作用、鼓勵家屬參與治療，均有助提升服藥遵從性與安全監測，故非答案。","鋰鹽治療窗窄(0.6–1.2 mEq\u002FL)，脫水或鈉流失使鋰滯留而中毒。正確衛教是「維持穩定的水分與正常鹽分攝取」，而非大量灌水或無鹽飲食。中毒徵象:噁心、顫抖、運動失調、意識改變。此題以「最不適宜」的反向設計測水鈉平衡概念。",[24,27,30,32],{"term":25,"count":26},"服藥遵從性",5,{"term":28,"count":29},"治療血中濃度",3,{"term":31,"count":10},"Lithium Carbonate",{"term":33,"count":10},"鋰鈉競爭",[35,39,44,48,53,58],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-112-1-psychiatric-community-010","依據 DSM-5 診斷準則，有關思覺失調症（Schizophrenia）診斷標準的描述，下列何者正確？",10,{"webId":40,"stem":41,"number":42,"year":9,"session":43},"nurse-112-2-psychiatric-community-026","王女士，36 歲，半年來經常感到坐立不安、肌肉緊繃、容易疲勞，入睡困難，總是過度擔心工作或家庭會發生問題。王女士最有可能的問題，為下列何者？",26,2,{"webId":45,"stem":46,"number":47,"year":9,"session":29},"nurse-112-3-psychiatric-community-040","有關水媒疾病的敘述，下列何者正確？",40,{"webId":49,"stem":50,"number":51,"year":52,"session":10},"nurse-114-1-psychiatric-community-038","臺灣淨水廠的供水系統目前廣泛使用何種消毒法？",38,114,{"webId":54,"stem":55,"number":56,"year":57,"session":43},"nurse-115-2-psychiatric-community-042","張老先生獨居於無電梯公寓五樓，罹患肺氣腫 30 餘年，目前上下樓梯困難。有關護理師提供的資源轉介，下列何者最不適當？",42,115,{"webId":59,"stem":60,"number":42,"year":61,"session":10},"nurse-107-1-psychiatric-community-026","古先生為富二代獨子，母親早逝與權威父親經常對立且常有衝突，經常在外與朋友以毒品自我麻醉，目前診斷為海洛因之物質障礙症，住院後下列治療之說明何者正確？",107,"2026-09-04",1788510743215]