[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-112-3-psychiatric-community-012":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-112-3-精神科與社區衛生護理學-012","nurse-112-3-psychiatric-community-012",112,3,12,"有關情緒穩定劑 carbamazepine 的敘述，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"常見副作用是輕微手抖或腸胃不適，但皮膚疹或複視很少出現","連續服用藥物 5 天後作用可達高峰，有效成人劑量約為 60～120 mg\u002Fday","發現病人黏膜潰爛，需確認是否為 Steven-Johnson syndrome（SJS）","因為具有明顯的腎毒性，用藥第 1～2 個月必須每週抽血監測腎功能","C",null,[],"本題考點在於情緒穩定劑 carbamazepine 的副作用監測。carbamazepine 可能引起嚴重皮膚不良反應，若發現黏膜潰爛須警覺並確認是否為史蒂文強森症候群（SJS），故 C 正確。A 錯在皮膚疹與複視其實是其常見副作用、並非罕見；B 錯在其成人有效劑量遠高於 60～120 mg\u002Fday（治療量約數百至上千 mg\u002Fday），劑量敘述明顯偏低；D 錯在 carbamazepine 主要影響的是血液（血球下降）與肝功能而非顯著腎毒性，且需監測的是血球與藥物血中濃度，故正解為 C。","carbamazepine 屬肝臟酵素誘導劑，會加速多種藥物代謝造成交互作用，並可能致血球減少、低血鈉與肝功能異常，故須監測全血球、肝功能與血中濃度。皮膚警訊：出現廣泛紅疹、水泡、黏膜糜爛須立即停藥並評估 SJS／TEN，帶有 HLA-B*1502 基因者（亞洲族群較多）風險更高，用藥前建議篩檢。",[24,27,29,31],{"term":25,"count":26},"carbamazepine",1,{"term":28,"count":26},"史蒂文強森症候群 SJS",{"term":30,"count":26},"血球與肝功能監測",{"term":32,"count":26},"HLA-B*1502 基因",[34,38,44,48,52,57],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-112-3-psychiatric-community-013","28 歲男性病人，因嚴重精神病症狀，語無倫次及攻擊他人，連續注射 5 mg 的 haloperidol（Haldol ® ）達每天 20～30 mg，護理師發現他的生命徵象極不穩定、吞嚥困難、全身冒汗，對此抗精神病藥物惡性症候群，下列何項敘述最適切？",13,{"webId":39,"stem":40,"number":41,"year":42,"session":43},"nurse-113-2-psychiatric-community-009","提供躁症發作（manic episode）病人的住院環境，下列考量何者較為適宜？①環境簡化，壁飾窗簾都應避免 ②家具擺放避免病人跌撞或暴力破壞 ③提供能消耗體力的活動與設施 ④病房伙食準備高熱量簡便食物",9,113,2,{"webId":45,"stem":46,"number":10,"year":47,"session":26},"nurse-114-1-psychiatric-community-003","根據DSM-5診斷準則，有關精神疾病的診斷及臨床表徵，下列敘述何者正確？",114,{"webId":49,"stem":50,"number":26,"year":51,"session":43},"nurse-115-2-psychiatric-community-001","林先生，診斷為思覺失調症（schizophrenia），近因被害妄想、情緒激躁，因此住院治療，一週後情緒趨於穩定，林先生詢問何時可以出院，下列護理師告知病人的處理何者最適當？",115,{"webId":53,"stem":54,"number":55,"year":56,"session":43},"nurse-106-2-psychiatric-community-075","慢性病危險群個案管理需要完整的計畫與防治步驟，其中最優先且重要的是：",75,106,{"webId":58,"stem":59,"number":60,"year":61,"session":43},"nurse-108-2-psychiatric-community-029","人格違常障礙症中之主要特徵為完美主義，重視細節，固執而缺乏彈性者，為下列何種人格障礙症？",29,108,"2026-09-04",1788510745817]