[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-114-3-psychiatric-community-013":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"lastmod":63},"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-114-3-精神科與社區衛生護理學-013","nurse-114-3-psychiatric-community-013",114,3,13,"有關抗鬱劑的衛教，下列敘述何者最適當？",{"A":14,"B":15,"C":16,"D":17},"服用選擇性血清素再吸收抑制劑，須衛教病人減少水分攝取","服用 fluoxetine（Prozac ® ）容易產生嗜睡、疲倦副作用，故建議睡前服用","出現激躁、高燒等血清素症候群，須增加抗憂鬱藥物的劑量","服用單胺氧化酶抑制劑，須衛教病人勿食用含酪胺酸（tyramine）食物","D",null,[],"本題考點在於抗鬱劑的用藥衛教。服用單胺氧化酶抑制劑(MAOI)期間須避免富含酪胺酸(tyramine)的食物(如陳年起司、醃漬品、紅酒),以免誘發高血壓危象,故 D 正確。A 錯,選擇性血清素再吸收抑制劑(SSRI)可能致低血鈉,並無『減少水分攝取』的衛教;B 錯,fluoxetine(Prozac)偏活化性、易致失眠而非嗜睡,宜早上服用;C 錯,出現激躁、高燒等血清素症候群應停藥並處置,而非增加抗憂鬱藥劑量。","MAOI 抑制單胺氧化酶,無法代謝食物中的酪胺酸,酪胺酸蓄積促使正腎上腺素大量釋放,遂引發高血壓危象(劇烈頭痛、血壓飆升)。血清素症候群則為血清素過量,表現高燒、肌陣攣、反射亢進、意識改變,常見於藥物併用,處置核心是停用致病藥物並支持性治療。",[24,27,29,31],{"term":25,"count":26},"單胺氧化酶抑制劑 MAOI",1,{"term":28,"count":26},"酪胺酸高血壓危象",{"term":30,"count":26},"SSRI 副作用",{"term":32,"count":26},"血清素症候群",[34,38,44,49,54,59],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-114-3-psychiatric-community-014","有關憂鬱症，下列敘述何者適當？①甲狀腺功能過高 ②症狀持續至少六個月 ③腦中血清素不足 ④女性發生率大於男性",14,{"webId":39,"stem":40,"number":41,"year":42,"session":43},"nurse-115-2-psychiatric-community-010","下列有關憂鬱症病因之敘述何者正確？①病人最常使用的防禦機轉為內射 ②病人的本我弱，超我強 ③病人對自我有負向看法，這是屬於認知理論 ④當憂鬱情緒好轉時，自殺的意念就會消失",10,115,2,{"webId":45,"stem":46,"number":47,"year":48,"session":26},"nurse-106-1-psychiatric-community-054","下列造成職業危害的原因，何者與個人因素有關？",54,106,{"webId":50,"stem":51,"number":52,"year":53,"session":43},"nurse-107-2-psychiatric-community-012","有關情緒障礙疾患的相關敘述，下列何者最適當？",12,107,{"webId":55,"stem":56,"number":57,"year":58,"session":26},"nurse-109-1-psychiatric-community-056","社區健康評估的診斷期，應包括下列那些步驟？①歸納資料要點 ②解釋與組織資料 ③陳述社區健康問題 ④設立社區健康問題的優先順序 ⑤確認目標 ⑥訂定達成目標的策略與行動 ⑦確認預算與進度",56,109,{"webId":60,"stem":61,"number":41,"year":62,"session":43},"nurse-110-2-psychiatric-community-010","有關精神科護理中認知治療的敘述，下列何者最適當？",110,"2026-09-04",1788510762791]