[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-112-3-psychiatric-community-011":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-112-3-精神科與社區衛生護理學-011","nurse-112-3-psychiatric-community-011",112,3,11,"病人主要服用的精神科藥物為 clozapine（Clozaril ® ），下列敘述何者正確？",{"A":14,"B":15,"C":16,"D":17},"此藥最常見嚴重致命副作用是史蒂文強森症候群（Steven-Johnson syndrome）","用藥後，病人血糖會下降","病人停藥後，可立即停止抽血監測血球數","評估病人白血球下降的症狀","D",null,[],"本題考點在於非典型抗精神病藥 clozapine（Clozaril）的重大副作用監測。clozapine 最嚴重的副作用是顆粒性白血球缺乏症（agranulocytosis），會使白血球下降、感染風險大增，故必須定期抽血監測血球並評估白血球下降相關症狀，D 正確。A 錯在其最嚴重致命副作用是顆粒性白血球缺乏，而非史蒂文強森症候群；B 錯在 clozapine 常引起代謝異常，血糖多『上升』而非下降；C 錯在停藥後仍須依規範持續監測血球一段時間，不能立即停止抽血，故正解為 D。","clozapine 保留給難治型思覺失調症，因 agranulocytosis 風險而需納入白血球監測計畫（用藥初期每週抽血，穩定後可拉長間隔，停藥後仍須追蹤數週）。其他副作用：流涎、鎮靜、體重增加、代謝症候群、心肌炎與癲癇閾值下降。衛教重點：出現發燒、喉嚨痛等感染徵象須立刻回診檢查血球。",[24,27,30,33],{"term":25,"count":26},"clozapine",4,{"term":28,"count":29},"顆粒性白血球缺乏症",2,{"term":31,"count":32},"定期血球監測",1,{"term":34,"count":32},"難治型思覺失調症用藥",[36,40,45,49,54,59],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-112-3-psychiatric-community-012","有關情緒穩定劑 carbamazepine 的敘述，下列何者正確？",12,{"webId":41,"stem":42,"number":43,"year":44,"session":29},"nurse-113-2-psychiatric-community-008","趙女士，在病房內出現未滿足其需求時，便威脅要撞牆。下列護理措施何者最適宜？",8,113,{"webId":46,"stem":47,"number":29,"year":48,"session":32},"nurse-114-1-psychiatric-community-002","精神醫學史上，主張不以鐵鍊限制病人行動，奠定人道主義精神照護的代表性人物，下列何者正確？",114,{"webId":50,"stem":51,"number":52,"year":53,"session":32},"nurse-115-1-psychiatric-community-050","有關代謝症候群及其健康照護的敘述，下列何者最適當？",50,115,{"webId":55,"stem":56,"number":57,"year":58,"session":29},"nurse-106-2-psychiatric-community-074","我國長期照顧服務法，所指之長期照顧對象是指身心失能持續達多久以上的人？",74,106,{"webId":60,"stem":61,"number":62,"year":63,"session":29},"nurse-108-2-psychiatric-community-028","護理師對物質使用障礙症病人的態度是影響會談過程的重要因素，因此在協助病人的過程中，護理師應注意事項為何？①應協助病人了解及接納這是一種疾病，需接受治療才可恢復 ②這類病人不常合併道德與法律問題，但護理師仍需要自我評估對物質使用的態度 ③護理師應保持中立及不批評的態度 ④治療及復健的過程需長期不斷的努力才能成功，治療的第一步是禁止再使用",28,108,"2026-09-04",1788510745813]