[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-114-1-psychiatric-community-004":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":32,"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":11},"nurse-114-1-精神科與社區衛生護理學-004","nurse-114-1-psychiatric-community-004",114,1,4,"有關抗精神病藥物的敘述，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"躁症急性發作期，若已使用情緒穩定劑，則不建議併用抗精神病藥物","clozapine（Clozaril ®）和fluvoxamine（Luvox ®）產生交互作用，會誘發非預期癲癇痙攣","長效針劑risperidone（Risperdal Consta ®）本質水性，多採淺層肌肉注射","鋰鹽為治療譫妄症的首選藥物","B",null,[],"本題考點在於抗精神病藥物的交互作用與用藥安全。clozapine 主要經肝臟 CYP1A2 代謝，而 fluvoxamine 是強效 CYP1A2 抑制劑，併用會使 clozapine 血中濃度上升、降低癲癇閾值而誘發非預期癲癇痙攣，故 B 正確。A 躁症急性期常需情緒穩定劑「併用」抗精神病藥以快速控制症狀，「不建議併用」錯誤。C 長效針劑 risperidone（Risperdal Consta）為水性微球懸浮劑，須採「深層肌肉注射」而非淺層，錯誤。D 譫妄症首選是找出並矯正病因、必要時用低劑量抗精神病藥（如 haloperidol），鋰鹽是雙相情緒障礙用藥、非譫妄首選，錯誤。","clozapine 本身即有劑量相關癲癇風險，加上 fluvoxamine 抑制 CYP1A2 使其濃度飆升，痙攣風險加倍；clozapine 另須警覺顆粒性白血球缺乏症（需定期驗血）。長效針劑 Consta 為深部肌注緩釋。譫妄處置核心是治本（感染、電解質、缺氧、藥物），躁症急性期常鋰鹽\u002Fvalproate 併抗精神病藥。",[24,26,28,30],{"term":25,"count":11},"clozapine",{"term":27,"count":10},"CYP1A2 交互作用",{"term":29,"count":10},"癲癇閾值",{"term":31,"count":10},"長效針劑肌肉注射",[33,37,41,46,52,57],{"webId":34,"stem":35,"number":36,"year":9,"session":10},"nurse-114-1-psychiatric-community-005","護理師詢問病人「您幾歲？」，病人回答「38歲」，再繼續問病人「之前的工作服務多久？」，病人仍回答「38歲」，病人對之後的問題皆回答「38歲」。此現象屬於下列何種症狀？",5,{"webId":38,"stem":39,"number":10,"year":9,"session":40},"nurse-114-3-psychiatric-community-001","有關新興影響精神物質（new psychoactive substances, NPS），下列敘述何者最不適當？",3,{"webId":42,"stem":43,"number":44,"year":45,"session":10},"nurse-115-1-psychiatric-community-045","依據學校衛生法，國民中小學設施設備基準規範，有關學校健康環境之敘述，下列何者最適當？",45,115,{"webId":47,"stem":48,"number":49,"year":50,"session":51},"nurse-106-2-psychiatric-community-063","有關平均餘命之敘述，下列何者錯誤？",63,106,2,{"webId":53,"stem":54,"number":55,"year":56,"session":51},"nurse-108-2-psychiatric-community-027","醫院病房的陌生環境，易使個案產生不安的情緒，在此狀況下，改善個案對住院環境不安的措施，下列何者最適切？",27,108,{"webId":58,"stem":59,"number":60,"year":61,"session":51},"nurse-109-2-psychiatric-community-061","社區護理師將有健康問題的家庭收案並建卡，針對所擬訂的護理計畫，提供護理服務和指導。這是扮演下列何種角色？",61,109,"2026-09-04",1788510758104]