[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-106-1-psychiatric-community-026":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-106-1-精神科與社區衛生護理學-026","nurse-106-1-psychiatric-community-026",106,1,26,"下列敘述何者正確？",{"A":14,"B":15,"C":16,"D":17},"許小姐有使用嗎啡過量或過久，持續想要戒除或調控均無效，仍對物質有渴求的控制失調","許小姐的腦部及身體已適應較高濃度的耐受性，因此只要些微劑量就可達到原來的效果","許小姐同時使用物質，當其使用嗎啡出現耐受性後，使用安非他命反而不需較大量就可滿足","許小姐因為嗎啡成癮，產生心理依賴，一旦停止會導致心理不適，即戒斷症狀","A",null,[],"本題考點在物質使用障礙症的診斷概念辨識。選項A描述許小姐使用嗎啡過量或過久、雖持續想戒除或調控卻均無效、仍對物質有渴求且控制失調,正好對應物質使用障礙症的核心準則(失去控制、渴求、戒除失敗),故選A。B「腦部已適應高濃度,只要些微劑量就達原效果」方向寫反:耐受性(tolerance)是需「更大」劑量才達原效果。C稱對嗎啡耐受後安非他命「不需較大量就滿足」,牴觸交叉耐受概念且邏輯錯誤。D把「心理依賴、停止即戒斷」混為一談:戒斷症狀屬生理依賴的表現,與純心理依賴的定義不符,故三者概念皆有誤。","區辨四個關鍵詞:耐受性(需增量才達原效)、生理依賴(停藥出現戒斷症狀)、心理依賴(對物質的渴求與強迫使用)、物質使用障礙(以失控、渴求、社交\u002F職業受損等成套準則界定)。B錯在耐受方向、C錯在交叉耐受邏輯、D錯把戒斷歸給心理依賴。記憶:『耐受要加量、戒斷是生理、渴求兼失控才叫使用障礙』。此題須依賴情境對象許小姐的完整描述,把握度標為中等。",[24,27,29,31],{"term":25,"count":26},"戒斷症狀",5,{"term":28,"count":10},"物質使用障礙準則",{"term":30,"count":10},"耐受性定義",{"term":32,"count":10},"生理與心理依賴",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-106-1-psychiatric-community-027","嗎啡的主要戒斷症狀，下列何者最適切？",27,{"webId":39,"stem":40,"number":41,"year":9,"session":42},"nurse-106-2-psychiatric-community-043","當社區衛生護理師的介入是針對物理環境（physical environment）的健康決定因子時，下列何者不是該社區適當的健康狀況指標？",43,2,{"webId":44,"stem":45,"number":46,"year":47,"session":10},"nurse-107-1-psychiatric-community-057","小珊，國小二年級，學校護理師發現她身上及背部長有小水疱，下列處置何者正確？①立即採取隔離措施 ②調查班上同學是否有同樣症狀，並進行通報 ③曾經接種過水痘疫苗學生可以到校上課 ④若水疱多於 50 處表示傳染力不高",57,107,{"webId":49,"stem":50,"number":51,"year":52,"session":10},"nurse-109-1-psychiatric-community-015","護理師在照顧精神病人時，應有正確認識，下列何者最為適當？",15,109,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-110-1-psychiatric-community-059","下列何種衛生教育方法最能快速讓民眾了解流感預防的相關知識？",59,110,{"webId":59,"stem":60,"number":61,"year":62,"session":42},"nurse-111-2-psychiatric-community-013","根據門寧格（William Menninger）所提出的態度治療理論，對於有操控、挑撥、過分要求的病人，最適當的治療態度為何？",13,111,"2026-09-04",1788510694828]