[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-112-2-psychiatric-community-005":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"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-112-2-精神科與社區衛生護理學-005","nurse-112-2-psychiatric-community-005",112,2,5,"有關抗精神病藥物的敘述，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"抗精神病藥力效果越強者，錐體外徑症候群作用越明顯","抗精神病藥力效果越強者，自主神經系統副作用越明顯","抗精神病藥物強度越強者，建議的每日口服治療劑量就越高","抗精神病藥物作用越強者，其鎮靜作用強度也是越強","A",null,[],"本題考點是抗精神病藥物的效價(potency)與副作用關係。高效價抗精神病藥(如 haloperidol)對多巴胺 D2 受體阻斷作用強,錐體外徑症候群(EPS)副作用越明顯,故選 A。自主神經系統副作用(如抗膽鹼、姿勢性低血壓)主要來自低效價藥物(如 chlorpromazine)的膽鹼與腎上腺素受體阻斷,B 錯。效價越強代表達到相同療效所需劑量越低而非越高,C 錯。鎮靜作用主要由組織胺 H1 阻斷造成,是低效價藥物較強,D 錯。","傳統抗精神病藥的副作用分布可用受體選擇性理解:高效價(D2 阻斷強)→ 錐體外徑症狀(急性肌張力不全、靜坐不能、類巴金森、遲發性運動障礙)明顯,但抗膽鹼與鎮靜較輕;低效價(受體選擇性差)→ 抗膽鹼、姿勢性低血壓、鎮靜明顯,EPS 相對少。記憶口訣:高效價管住多巴胺卻惹出僵硬顫抖;低效價亂打其他受體帶來嗜睡口乾低血壓。這也是選藥時權衡副作用的基礎。",[24,27,29,31],{"term":25,"count":26},"抗精神病藥效價 potency",1,{"term":28,"count":26},"多巴胺 D2 受體阻斷",{"term":30,"count":26},"錐體外徑症候群 EPS",{"term":32,"count":26},"抗膽鹼與鎮靜副作用",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-112-2-psychiatric-community-006","陳女士，35 歲，診斷雙相情緒障礙症，護理師在詢問家族病史中得知此次是陳女士首次發病，她的母親也是雙相情緒障礙症的病人，依病因模式，最符合以下何項病因因素？",6,{"webId":39,"stem":40,"number":41,"year":9,"session":42},"nurse-112-3-psychiatric-community-022","有關心理防衛機轉的敘述，下列何者正確？",22,3,{"webId":44,"stem":45,"number":46,"year":47,"session":10},"nurse-113-2-psychiatric-community-016","蕭小姐，46 歲，育有二子，因先生外遇，最近離婚後獨居，整日鬱鬱寡歡沉默不語，近日突出現語言障礙，發聲困難及奇異步態，影響日常作息，住院後神經學檢查無異常，下列護理措施何者最適切？",16,113,{"webId":49,"stem":50,"number":51,"year":52,"session":42},"nurse-114-3-psychiatric-community-014","有關憂鬱症，下列敘述何者適當？①甲狀腺功能過高 ②症狀持續至少六個月 ③腦中血清素不足 ④女性發生率大於男性",14,114,{"webId":54,"stem":55,"number":56,"year":57,"session":26},"nurse-106-1-psychiatric-community-068","社區衛生護理師協助弱勢族群爭取其應有的健康服務，並在適當時機傳達其需求，進而促成健康政策之擬定，此角色為：",68,106,{"webId":59,"stem":60,"number":41,"year":61,"session":10},"nurse-107-2-psychiatric-community-022","雙相情緒障礙症病人的誇大言辭，常使用何種心理防衛機轉掩飾內心的無助與自卑？",107,"2026-09-04",1788510748727]