[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-106-1-psychiatric-community-010":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"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-106-1-精神科與社區衛生護理學-010","nurse-106-1-psychiatric-community-010",106,1,10,"慢性間質性膀胱炎，最常見於那一種物質使用障礙症病人身上？",{"A":14,"B":15,"C":16,"D":17},"K 他命（ketamine）","古柯鹼（cocaine）","海洛因（heroin）","安非他命（amphetamine）","A",null,[],"本題考點為特定物質使用障礙的併發症。依藥理毒性,K他命(ketamine)長期濫用會造成泌尿道毒性,引起慢性間質性膀胱炎,出現頻尿、急尿、血尿與膀胱容量縮小,故選A。B古柯鹼主要造成心血管危害如血管收縮、心肌梗塞與中風;C海洛因為鴉片類,以呼吸抑制、便秘與成癮戒斷為主;D安非他命屬中樞興奮劑,造成心搏過速、體溫上升、精神病症狀與牙齒損害。慢性間質性膀胱炎是K他命濫用的招牌併發症,與其他三者的毒性標的不同。","K他命為解離性麻醉劑,長期娛樂性使用引發K他命膀胱炎,機轉與其代謝物對泌尿上皮的直接毒性及發炎有關,嚴重者膀胱纖維化攣縮致容量大減。臨床三聯:嚴重頻尿急尿、恥骨上疼痛、血尿。記憶配對:K他命傷膀胱、古柯鹼傷心血管、鴉片致呼吸抑制與便秘、安非他命致交感興奮與精神病。辨識各物質的招牌器官毒性即可作答。",[24,27,30,32],{"term":25,"count":26},"物質使用障礙",3,{"term":28,"count":29},"K他命",2,{"term":31,"count":29},"間質性膀胱炎",{"term":33,"count":10},"泌尿道毒性",[35,39,43,48,53,58],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-106-1-psychiatric-community-011","用鋰鹽的病人，若服用以下那類藥物會引起鋰鹽在血液的濃度增加之危險，下列何項正確？①血清素及甲基腎上腺回收抑制劑（serotonin and norepinephrine reuptake inhibitor, SNRI，如 venlafaxine） ②血管收縮素轉換酵素抑制劑（angiotension-coverting enzyme inhibitor, ACE-inhibitor，如抗高血壓藥，captopril） ③非類固醇抗發炎劑（non-steroid anti-inflammatory drug, NSAID，如 ibuprofen） ④利尿劑（如 thiazide）",11,{"webId":40,"stem":41,"number":42,"year":9,"session":29},"nurse-106-2-psychiatric-community-027","有關強迫症之敘述，下列何者最正確？",27,{"webId":44,"stem":45,"number":46,"year":47,"session":10},"nurse-107-1-psychiatric-community-041","進入社區四處觀察居民生活環境、型態及互動之資料收集方式為何？",41,107,{"webId":49,"stem":50,"number":51,"year":52,"session":29},"nurse-108-2-psychiatric-community-079","依照三段五級防治工作，高血壓個案至社區藥局接受免費用藥指導與處方箋領藥等服務，此項措施屬於那一層次？",79,108,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-110-1-psychiatric-community-043","王太太，49 歲，無抽菸與嚼檳榔史，未曾做過任何篩檢，依據全民健保預防保健服務範圍，她可接受那些篩檢項目？①成人預防保健「健康加值方案」 ②子宮頸癌篩檢 ③乳癌篩檢 ④大腸癌篩檢 ⑤口腔癌篩檢",43,110,{"webId":59,"stem":60,"number":61,"year":62,"session":10},"nurse-111-1-psychiatric-community-077","獨居的張爺爺罹患氣喘多年，最近因氣喘發作反覆入院，近日出院返家，每週會有居服員到宅服務，社區衛生護理師到家中訪視，下列建議何者最不適當？",77,111,"2026-09-04",1788510694639]