[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-113-2-psychiatric-community-021":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"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-113-2-精神科與社區衛生護理學-021","nurse-113-2-psychiatric-community-021",113,2,21,"有關老年憂鬱症的治療，下列敘述何者最不適切？",{"A":14,"B":15,"C":16,"D":17},"目前第一線藥物為三環抗憂鬱劑","從最小的有效劑量開始調整起","電痙攣治療（ECT）可治療嚴重的老年憂鬱症","要注意抗憂鬱劑停藥後焦慮、失眠等副作用","A",null,[],"本題考點在於老年憂鬱症的藥物治療選擇。老年人因肝腎代謝下降與共病多,用藥須考量安全性,三環抗憂鬱劑(TCA)因抗膽鹼作用強(易致姿勢性低血壓、心律不整、尿滯留、認知混亂)不適合作為老年人的第一線用藥。本題為反向題,最不適切者為 A:「第一線藥物為三環抗憂鬱劑」錯誤,老年憂鬱首選為副作用較少的 SSRI,故 A 為答案。B「從最小有效劑量開始調整」符合老年用藥 start low, go slow 原則。C 電痙攣治療(ECT)對嚴重、頑固或有立即危險的老年憂鬱症確實有效。D 抗憂鬱劑驟停可能出現停藥症候群(焦慮、失眠等),須注意漸減。考點在於老年憂鬱首選 SSRI 而非 TCA。","老年精神藥理原則 start low, go slow:因藥物代謝與清除變慢、副作用敏感。TCA 抗膽鹼與心臟毒性高,過量致命,故退居後線;SSRI 安全性高為首選(留意低血鈉、跌倒風險)。ECT 用於嚴重、拒食、高自殺風險或藥物無效者,對老年人相對安全有效。停藥須漸減防停藥症候群。記憶:老人憂鬱首選 SSRI,TCA 因抗膽鹼與心毒性避開。",[24,27,30,32],{"term":25,"count":26},"老年憂鬱症",6,{"term":28,"count":29},"SSRI 為首選",1,{"term":31,"count":29},"三環抗憂鬱劑副作用",{"term":33,"count":29},"電痙攣治療(ECT)",[35,39,44,49,54,59],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-113-2-psychiatric-community-022","有關精神衛生護理社區護理實務能力，下列敘述何者正確？",22,{"webId":40,"stem":41,"number":42,"year":43,"session":29},"nurse-114-1-psychiatric-community-018","根據DSM-5診斷準則，有關智能不足適應功能的評估，下列何者最不適切？",18,114,{"webId":45,"stem":46,"number":47,"year":43,"session":48},"nurse-114-3-psychiatric-community-012","承上題，對楊小姐所進行之護理措施何者最不適當？",12,3,{"webId":50,"stem":51,"number":52,"year":53,"session":29},"nurse-106-1-psychiatric-community-060","有關廢棄物處理程序的描述，下列何者錯誤？",60,106,{"webId":55,"stem":56,"number":57,"year":58,"session":10},"nurse-107-2-psychiatric-community-024","承上題，武先生渴望有女朋友，某日武先生向護理師說：「護理師您很漂亮，妳有沒有男朋友，我可以當您的男朋友」，護理師之處置下列何者最適當？",24,107,{"webId":60,"stem":61,"number":62,"year":63,"session":29},"nurse-109-1-psychiatric-community-058","依據渥太華健康促進憲章五大行動綱領，傳染病防治法明訂相關主管機關應配合及協助辦理傳染病防治事項，是符合下列何種行動綱領？",58,109,"2026-09-04",1788510755938]