[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-112-2-psychiatric-community-020":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":35,"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-020","nurse-112-2-psychiatric-community-020",112,2,20,"雙相情緒障礙症（Bipolar Disorder）的治療原則，下列何項敘述不適切？",{"A":14,"B":15,"C":16,"D":17},"情緒穩定劑穩定情緒起伏","可合併使用抗精神病藥物治療激躁症狀","認知行為治療找出不理性想法","輕躁症只需心理治療","D",null,[],"本題考點是雙相情緒障礙症的治療原則,屬反向題。錯誤(不適切)的敘述為 D,輕躁症仍屬雙相情緒障礙症病程的一部分,需要情緒穩定劑等藥物治療以防病情惡化或轉為躁症,不能只靠心理治療,故選 D。情緒穩定劑(如鋰鹽、valproate)用以穩定情緒起伏,A 適切。急性激躁時可合併使用抗精神病藥物控制症狀,B 適切。認知行為治療協助辨識並修正不理性想法、增進病識感與遵醫囑,C 適切。","雙相情緒障礙症的治療核心是藥物(情緒穩定劑為基石,必要時合併抗精神病藥或抗憂鬱藥)加上心理社會介入(心理教育、認知行為治療、規律作息與睡眠管理)。輕躁期雖症狀較輕,病人常自我感覺良好而不願服藥,卻是復發與惡化的高風險窗口,故仍需藥物介入。使用抗憂鬱藥須謹慎以免誘發躁症轉相。記憶重點:雙相治療以情緒穩定劑為底,心理治療為輔,任何期別都不可僅靠心理治療。",[24,27,30,33],{"term":25,"count":26},"認知行為治療",5,{"term":28,"count":29},"情緒穩定劑",3,{"term":31,"count":32},"雙相情緒障礙症 Bipolar Disorder",1,{"term":34,"count":32},"抗精神病藥合併治療",[36,40,44,49,54,58],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-112-2-psychiatric-community-021","陳同學，18 歲，診斷為思覺失調症，父母擔心服藥會影響其學科考試成績。下列護理措施，何者最適切？",21,{"webId":41,"stem":42,"number":43,"year":9,"session":29},"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,{"webId":45,"stem":46,"number":47,"year":48,"session":10},"nurse-113-2-psychiatric-community-031","護理師排定社區健康問題優先順序，下列何者需優先處理？",31,113,{"webId":50,"stem":51,"number":52,"year":53,"session":29},"nurse-114-3-psychiatric-community-029","流感流行期間，透過適度運動與均衡營養以提升自身免疫力，屬於三段五級預防工作中的那個段級？",29,114,{"webId":55,"stem":56,"number":29,"year":57,"session":10},"nurse-106-2-psychiatric-community-003","心理防衛機轉中，有關潛抑作用（repression）和壓抑作用（suppression）之敘述，下列何者正確？",106,{"webId":59,"stem":60,"number":43,"year":61,"session":10},"nurse-107-2-psychiatric-community-037","卡普蘭（Caplan）提出危機事件發生後會歷經四個階段，四個階段依序為何？",107,"2026-09-04",1788510748859]