[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-112-3-psychiatric-community-016":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"lastmod":65},"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-016","nurse-112-3-psychiatric-community-016",112,3,16,"李同學，18 歲，第一次被診斷為第一型雙相情緒障礙症，護理師向李同學及家屬進行護理指導時，下列何者最適宜？",{"A":14,"B":15,"C":16,"D":17},"病人功能會退化，需要長期的安置","發病年齡越晚，預後越差","需規律藥物治療，避免疾病再發作","服用鋰鹽時，血中濃度應維持在 1.5 mEq\u002FL","C",null,[],"本題考點在於雙相情緒障礙症的疾病衛教與長期藥物治療觀念。依疾病特性,雙相情緒障礙症為易復發的慢性疾病,規律服藥(如情緒穩定劑)是預防再發作的關鍵,故 C「需規律藥物治療,避免疾病再發作」最適宜。A 錯誤,妥善治療下多數病人可維持功能,不必然退化到需長期安置。B 錯誤,一般而言發病年齡越早預後越差,而非越晚越差。D 錯誤,鋰鹽治療血中濃度應維持在約 0.6～1.2 mEq\u002FL,1.5 mEq\u002FL 已接近中毒濃度,敘述不當。考點在於辨識規律服藥對預防復發的重要性。","鋰鹽(lithium)治療濃度窄:維持期 0.6～1.2 mEq\u002FL,急性期可略高至 1.2～1.5,但超過 1.5 易出現中毒(噁心、顫抖、運動失調、意識改變),超過 2.0 為嚴重毒性。需定期監測血中濃度、腎功能與甲狀腺功能,並維持水分與鈉攝取穩定(缺鈉或脫水會使鋰濃度上升)。記憶重點:雙相情緒障礙復發率高,停藥是復發主因。",[24,27,29,32],{"term":25,"count":26},"雙相情緒障礙症",4,{"term":28,"count":10},"鋰鹽治療濃度",{"term":30,"count":31},"藥物遵從性",1,{"term":33,"count":31},"疾病復發預防",[35,39,45,50,55,60],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-112-3-psychiatric-community-017","林同學，20 歲，上台報告時總是會極度恐懼或焦慮，也無法在公共場所用餐，平時會儘量避免與他人交談或互動。林同學最有可能的問題是下列何者？",17,{"webId":40,"stem":41,"number":42,"year":43,"session":44},"nurse-113-2-psychiatric-community-013","有關思覺失調症的致病原因，下列敘述何者最不適切？",13,113,2,{"webId":46,"stem":47,"number":48,"year":49,"session":31},"nurse-114-1-psychiatric-community-007","下列何者不是動機式晤談法（motivational interview）的基本原則？",7,114,{"webId":51,"stem":52,"number":53,"year":54,"session":44},"nurse-115-2-psychiatric-community-005","張先生，78 歲，因迷路警察通知家人領回，張先生大聲表示：「我只是想拜訪老王，一時想不起他住那裡，所以才在附近逛逛。」家人感錯愕，因為 1 個月前才陪爸爸參加王先生的葬禮。下列何項最可能是張先生的診斷？",5,115,{"webId":56,"stem":57,"number":58,"year":59,"session":44},"nurse-106-2-psychiatric-community-079","邀請名人或藝人擔任代言人，促進民眾篩檢意願，此種策略根據健康信念模式是屬於何因素？",79,106,{"webId":61,"stem":62,"number":63,"year":64,"session":44},"nurse-108-2-psychiatric-community-033","安排病人參與社區復健活動，護理師所執行的個案管理措施，下列何者正確？",33,108,"2026-09-04",1788510745851]