[{"data":1,"prerenderedAt":62},["ShallowReactive",2],{"q-nurse-114-2-psychiatric-community-004":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"lastmod":61},"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":10},"nurse-114-2-精神科與社區衛生護理學-004","nurse-114-2-psychiatric-community-004",114,2,4,"長期使用鋰鹽（Lithium）治療雙相情緒障礙症（bipolar disorder），下列何項是必須定期檢查的項目？①甲狀腺功能 ②肺功能 ③肝臟功能 ④腎臟功能",{"A":14,"B":15,"C":16,"D":17},"①②","②③","③④","①④","D",null,[],"本題考點在於鋰鹽（Lithium）長期治療的器官毒性與定期監測項目。鋰鹽由腎臟排除，長期使用會影響腎功能（可能致腎性尿崩、腎功能減退），並干擾甲狀腺素合成而導致甲狀腺功能低下，故必須定期監測「甲狀腺功能①與腎臟功能④」，選 D。②肺功能與鋰鹽毒性無直接關聯，非常規監測項目；③肝臟功能主要與其他情緒穩定劑（如 valproate、carbamazepine）相關，鋰鹽並不經肝代謝，故非重點。掌握「鋰鹽走腎、影響甲狀腺」即可鎖定 ①④。","藥理重點：鋰鹽治療窗窄（0.6～1.2 mEq\u002FL），須定期抽血監測血中濃度、腎功能與 TSH。中毒徵象：噁心、顫抖、運動失調、意識改變。脫水、低鈉、NSAID、利尿劑會升高鋰鹽濃度而中毒。與抗癲癇類情緒穩定劑相比，後者才需重點顧肝功能與血球。",[24,26,29,31],{"term":25,"count":10},"治療濃度監測",{"term":27,"count":28},"鋰鹽 Lithium",1,{"term":30,"count":28},"腎臟排除與監測",{"term":32,"count":28},"甲狀腺功能低下",[34,38,42,46,51,56],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-114-2-psychiatric-community-005","有關自閉症類群障礙症（autism spectrum disorder）之敘述，下列何者錯誤？",5,{"webId":39,"stem":40,"number":28,"year":41,"session":28},"nurse-115-1-psychiatric-community-001","吳小姐，24歲，碩士生，單親家庭，因應疫情返家遠距學習，在家期間與母親朝夕相處備感壓力。返診時對護理師說:「我坐在房間窗邊會想，如果跳下去會怎樣？」，根據同理心的原則，下列何項護理師的回應最適切？",115,{"webId":43,"stem":44,"number":45,"year":41,"session":10},"nurse-115-2-psychiatric-community-045","從事玻璃成型工作者，最常造成下列那一種職業病？",45,{"webId":47,"stem":48,"number":49,"year":50,"session":28},"nurse-107-1-psychiatric-community-033","陳小姐，28 歲，診斷為思覺失調症，症狀穩定參加社區復健活動，並可接受獨立生活能力的訓練，但由於她無法返回自己家裡居住，最適合陳小姐的服務模式之安排為何？",33,107,{"webId":52,"stem":53,"number":54,"year":55,"session":10},"nurse-108-2-psychiatric-community-077","李先生，因工作意外全身癱瘓，剛從醫院出院，有氣切管及導尿管，由太太在家照顧，沐浴及外出均受到居家環境的限制。社區衛生護理師評估李太太因無人輪替，有緊張、焦慮等情形，且其照護能力尚未純熟。為讓李家得到較周全的協助，社區衛生護理師可將其轉介至下列那一個機構？",77,108,{"webId":57,"stem":58,"number":59,"year":60,"session":28},"nurse-110-1-psychiatric-community-031","王小弟，5 歲，診斷為自閉症類群障礙症（Autism Spectrum Disorder），下列護理措施何者錯誤？",31,110,"2026-09-04",1788510760409]