[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-113-3-psychiatric-community-004":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"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-113-3-精神科與社區衛生護理學-004","nurse-113-3-psychiatric-community-004",113,3,4,"有關鋰鹽 Lithium（Lidin ® ）的敘述，下列何者最正確？",{"A":14,"B":15,"C":16,"D":17},"主要是促進躁症病人腦部兒茶酚胺（catecholamine）的分泌及活化","口服用藥只需服用大約 2 天，療效通常就非常明顯與穩定","需要嚴格限制食鹽攝取量，以免鋰鹽在腎臟的清除率過高","服用一天後若出現腸胃症狀，例如噁心、嘔吐，建議可進餐時服用鋰鹽","D",null,[],"本題考點在於鋰鹽（lithium）的用藥與安全指導。最正確為 D：服藥初期若出現噁心、嘔吐等腸胃不適，可於進餐時服用以減輕刺激，正確。A 錯誤，鋰鹽治療雙相情緒障礙的機轉並非促進兒茶酚胺分泌與活化。B 錯誤，鋰鹽起效需約 1～2 週以上，非服用 2 天即穩定顯效。C 錯誤，不可嚴格限鹽；鈉與鋰在腎小管競爭再吸收，限鈉或脫水會使鋰滯留、清除率下降而中毒，故應維持穩定的鹽分與水分攝取。判斷關鍵在於鈉鋰競爭與治療濃度監測。","鋰鹽治療指數狹窄（治療濃度約 0.6～1.2 mEq\u002FL），須定期監測血中濃度。由於鋰與鈉經同一機轉在腎小管再吸收，脫水、限鈉、利尿劑或大量流汗會升高血鋰而中毒；反之鈉負荷增加會加速排鋰。中毒表現由腸胃症狀、震顫進展至意識改變、抽搐。故衛教核心是維持穩定鹽水攝取與規律監測。",[24,27,29,32],{"term":25,"count":26},"治療濃度監測",2,{"term":28,"count":26},"鋰中毒",{"term":30,"count":31},"鋰鹽 lithium",1,{"term":33,"count":31},"鈉鋰競爭",[35,39,43,47,52,57],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-113-3-psychiatric-community-005","王先生，20 歲，診斷妥瑞氏症，護理師問他：「你今年幾歲？」王先生答：「幾歲？」接著問：「現在做什麼工作？」王先生答：「什麼工作？」這是屬於下列那一種症狀？",5,{"webId":40,"stem":41,"number":31,"year":42,"session":26},"nurse-114-2-psychiatric-community-001","根據精神衛生法，有關嚴重病人的敘述，下列何者正確？①病人呈現出與事實脫節之精神狀態 ②不能處理自己事務者 ③若被認定為嚴重病人必須強制住院 ④需要專科醫師診斷認定",114,{"webId":44,"stem":45,"number":46,"year":42,"session":10},"nurse-114-3-psychiatric-community-045","根據學校衛生法，學校護理師對學童健康問題，下列何者應最優先提供預防及矯治？",45,{"webId":48,"stem":49,"number":50,"year":51,"session":26},"nurse-106-2-psychiatric-community-013","周同學一向從容不迫，但在面臨學位資格考時，表現非常焦慮，這種情況屬於下列何種焦慮？",13,106,{"webId":53,"stem":54,"number":55,"year":56,"session":26},"nurse-107-2-psychiatric-community-057","社區護理師希望知道社區的權力分配、溝通方式、問題解決辦法、決策過程等資訊，較適當的評估方法為何？",57,107,{"webId":58,"stem":59,"number":60,"year":61,"session":26},"nurse-109-2-psychiatric-community-011","王女士平日容易緊張且抱怨晚上睡不好，醫師開立 triazolam（Halcion）0.25 mg 睡前服用，護理師給予服藥注意事項之指導，下列何項正確？①注意暈眩並防跌倒 ②造成靜坐困難 ③避免同時吃葡萄柚 ④避免同時服用紅黴素（erythromycin）",11,109,"2026-09-04",1788510753449]