[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-113-1-psychiatric-community-002":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-113-1-精神科與社區衛生護理學-002","nurse-113-1-psychiatric-community-002",113,1,2,"有關多巴胺（dopamine）傳導路徑理論與思覺失調症的關係，下列敘述何者最適切？",{"A":14,"B":15,"C":16,"D":17},"興趣動機缺乏的症狀主要與結節—漏斗部多巴胺路徑有關","妄想幻覺的症狀主要與中腦—邊緣多巴胺路徑有關","類巴金森氏症狀主要與中腦—皮質多巴胺路徑有關","泌乳素上升的副作用主要與黑質—紋狀體多巴胺路徑有關","B",null,[],"本題考點在於多巴胺四大傳導路徑與思覺失調症症狀的對應。依多巴胺假說,中腦-邊緣路徑(mesolimbic)多巴胺過度活躍與正性症狀(妄想、幻覺)有關,故B正確。A錯:興趣動機缺乏等負性症狀與中腦-皮質路徑(mesocortical)多巴胺不足有關,而非結節-漏斗部路徑。C錯:類巴金森氏錐體外症狀(EPS)與黑質-紋狀體路徑(nigrostriatal)多巴胺被阻斷有關,而非中腦-皮質路徑。D錯:泌乳素上升(高泌乳素血症)與結節-漏斗部路徑(tuberoinfundibular)多巴胺被阻斷有關,而非黑質-紋狀體。辨識關鍵在四路徑與症狀正確配對。","多巴胺四路徑對照表:①中腦-邊緣(過度)→正性症狀;②中腦-皮質(不足)→負性與認知症狀;③黑質-紋狀體(被抗精神病藥阻斷)→EPS錐體外症狀;④結節-漏斗部(被阻斷)→泌乳素↑(溢乳、月經失調)。典型抗精神病藥阻斷D2易致EPS與高泌乳素,非典型藥物副作用較輕。記憶:邊緣正性、皮質負性、黑紋動作、漏斗泌乳。",[24,27,29,31],{"term":25,"count":26},"多巴胺假說",5,{"term":28,"count":10},"中腦-邊緣路徑正性症狀",{"term":30,"count":10},"黑質-紋狀體EPS",{"term":32,"count":10},"結節-漏斗部泌乳素",[34,38,42,47,52,57],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-113-1-psychiatric-community-003","有關家庭治療之敘述，下列何者最適切？",3,{"webId":39,"stem":40,"number":41,"year":9,"session":11},"nurse-113-2-psychiatric-community-049","有關糖尿病足部照護的衛教內容，下列何者錯誤？",49,{"webId":43,"stem":44,"number":45,"year":46,"session":10},"nurse-114-1-psychiatric-community-043","下列那些是骨質疏鬆的危險因子？①體重過重   ②飲食含鹽量過少   ③缺乏運動   ④飲酒過量   ⑤ 甲狀腺機能亢進",43,114,{"webId":48,"stem":49,"number":50,"year":51,"session":11},"nurse-115-2-psychiatric-community-041","在推展或擬定原住民健康相關政策時，下列何者最不適當？",41,115,{"webId":53,"stem":54,"number":55,"year":56,"session":10},"nurse-107-1-psychiatric-community-035","護理師於精神復健病房擔任照護工作，其照顧慢性病患的原則，下列何者正確？",35,107,{"webId":58,"stem":59,"number":60,"year":61,"session":11},"nurse-108-2-psychiatric-community-069","陳先生早餐吃了蛋製品，餐後有腹瀉、腹痛、噁心、嘔吐及發燒症狀。他最有可能是下列何種細菌引起之食物中毒？",69,108,"2026-09-04",1788510751075]