[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-112-3-psychiatric-community-009":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"lastmod":63},"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-112-3-精神科與社區衛生護理學-009","nurse-112-3-psychiatric-community-009",112,3,9,"有關電氣痙攣療法（ECT）的敘述，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"治療時採用 150～300 伏特電流通過腦部 1 分鐘引發痙攣","通常是先產生陣發性痙攣，而後才出現強直性痙攣","用在雙相情緒障礙症急性躁期的病人，療效最佳","單側式 ECT，通常將電極片放在非優勢大腦的額顳交接處","D",null,[],"本題考點在於電氣痙攣療法（ECT）的正確操作與電極擺放。單側式 ECT 通常將電極片放在『非優勢』大腦半球的額顳交接處，以減少對記憶與認知功能的影響，故 D 正確。A 錯在電流時間，ECT 是以短暫（約數秒）電刺激誘發痙攣，而非持續 1 分鐘；B 錯在痙攣順序，誘發後應先出現強直期（tonic）再進入陣攣期（clonic），而非先陣發後強直；C 錯在適應症，ECT 療效最佳的是重度或難治性、伴自殺或拒食的憂鬱症，而非首選用於躁期，故正解為 D。","ECT 現多採改良式：先給短效麻醉與肌肉鬆弛劑，減少骨折與不適；主要副作用為短期記憶減退與意識混亂。單側非優勢半球放置可降低認知副作用，雙側療效較快但認知影響較大。痙攣分期記憶：先 tonic（強直）後 clonic（陣攣）。主要適應症為嚴重憂鬱症（尤其伴高自殺風險或拒食者）。",[24,27,30,32],{"term":25,"count":26},"重度憂鬱症適應症",2,{"term":28,"count":29},"電氣痙攣療法 ECT",1,{"term":31,"count":29},"單側非優勢半球電極",{"term":33,"count":29},"強直期先於陣攣期",[35,39,44,48,53,58],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-112-3-psychiatric-community-010","有關認知障礙症病人的特性，下列敘述何者正確？",10,{"webId":40,"stem":41,"number":42,"year":43,"session":26},"nurse-113-2-psychiatric-community-006","吳先生，25 歲，唸高中時出現幻聽、被害妄想，開始接受精神科治療，近三個月自行減藥，症狀越來越嚴重，他告訴護理師：「我知道我有精神病，我知道我的病吃藥可以改善，但我就是不想吃那麼多藥。」這是屬於何種病識感？",6,113,{"webId":45,"stem":46,"number":47,"year":43,"session":10},"nurse-113-3-psychiatric-community-050","世界衛生組織提出延緩失能的六大能力，有關「長者整合性照護指引（Integrated care for older people, ICOPE）」之評估項目，下列何者最適當？",50,{"webId":49,"stem":50,"number":51,"year":52,"session":29},"nurse-115-1-psychiatric-community-048","依據老人福利機構設立標準，有關長期照顧機構類型及照護對象，下列敘述何者最適當？",48,115,{"webId":54,"stem":55,"number":56,"year":57,"session":26},"nurse-106-2-psychiatric-community-072","某高噪音作業的員工其特殊健康檢查結果出現第三級管理，職業衛生護理師的立即處理為何？",72,106,{"webId":59,"stem":60,"number":61,"year":62,"session":26},"nurse-108-2-psychiatric-community-026","朱小姐，一位住院的精神病人，22 歲，護生實習照顧她已三週，護理師觀察到朱小姐與護生互動良好，且都能在護生陪同下配合病房活動，但每天約下午 3 點多護生與護理師交班時，朱小姐會出現焦慮，害怕的情形，而頻頻要求入保護室，請問下列那一項可列入照護計畫中？",26,108,"2026-09-04",1788510745792]