[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-112-2-psychiatric-community-033":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":35,"lastmod":64},"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-033","nurse-112-2-psychiatric-community-033",112,2,33,"有關老年憂鬱症的敘述，下列何者最不適切？",{"A":14,"B":15,"C":16,"D":17},"與血清素神經傳導物質分泌減少有關","會因中風、心血管疾病引發憂鬱症","盛行率常被低估","憂鬱症狀緩解時，須立即停藥","D",null,[],"本題考點是老年憂鬱症的特性與治療原則，最不適切者為 D。抗憂鬱藥物在症狀緩解後仍須維持治療一段時間以鞏固療效並預防復發，不可在症狀一緩解就立即停藥，故 D 錯誤為正解。A 適切，憂鬱症與血清素等神經傳導物質分泌減少有關。B 適切，中風、心血管疾病等生理疾病可引發或合併老年憂鬱症。C 適切，老年憂鬱症狀常被誤認為老化或身體疾病，導致盛行率被低估。考點在於辨識抗憂鬱治療「症狀緩解後仍需維持、不可驟停」的用藥原則。","抗憂鬱藥物需二至四週才顯效，急性期後應維持治療約六個月以上以鞏固療效，突然停藥不僅易復發，SSRI／SNRI 驟停還可能出現停藥症候群（頭暈、噁心、感覺異常）。老年憂鬱常以身體不適、認知退化（假性失智）表現而被忽略，須主動評估。記憶要點：憂鬱藥慢慢起效、緩解後續吃、要停也要慢慢減。可延伸連結血清素假說、老年假性失智與自殺風險評估。",[24,27,30,33],{"term":25,"count":26},"老年憂鬱症",6,{"term":28,"count":29},"血清素",4,{"term":31,"count":32},"維持治療",1,{"term":34,"count":32},"停藥症候群",[36,40,45,50,55,60],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-112-2-psychiatric-community-034","江先生為思覺失調症病人，出院返家後，常干擾社區居民，但不至於傷害他人，家屬表示病人不願意配合服藥與規律返診，照顧困難。依此情境，最適合提供江先生下列何種精神醫療服務？",34,{"webId":41,"stem":42,"number":43,"year":9,"session":44},"nurse-112-3-psychiatric-community-050","下列何者不是慢性腎臟病的危險因子？",50,3,{"webId":46,"stem":47,"number":48,"year":49,"session":10},"nurse-113-2-psychiatric-community-044","提供社區經濟弱勢的獨居老人送餐服務，是屬於社區何種功能之發揮？",44,113,{"webId":51,"stem":52,"number":53,"year":54,"session":44},"nurse-114-3-psychiatric-community-042","有關衛生福利部進行原住民族及離島地區部落社區健康營造計畫目的，下列敘述何者最適當？",42,114,{"webId":56,"stem":57,"number":58,"year":59,"session":10},"nurse-106-2-psychiatric-community-016","承上題，王先生容易受環境刺激，而變得更加躁動不安，下列措施何者最適宜？",16,106,{"webId":61,"stem":62,"number":43,"year":63,"session":10},"nurse-107-2-psychiatric-community-050","引起護理師下背痛的主要危險因子為何種類型？",107,"2026-09-04",1788510748940]