[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-106-1-psychiatric-community-028":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-028","nurse-106-1-psychiatric-community-028",106,1,28,"許小姐所使用物質的嗎啡中毒主要症狀，下列說明何者最適切？",{"A":14,"B":15,"C":16,"D":17},"血壓上升、心跳加快","意識過於警覺、呼吸急促","複視、影像變形、心跳過速","針狀瞳孔、嗜睡、心跳變慢","D",null,[],"本題考點在嗎啡(鴉片類)中毒(過量)的主要症狀。嗎啡作用於中樞μ鴉片受體,過量時呈現典型三聯徵:針狀瞳孔(pinpoint pupils,瞳孔極度收縮)、意識抑制\u002F嗜睡至昏迷、以及呼吸與心跳抑制(心跳變慢),故選D。A「血壓上升、心跳加快」屬交感興奮,與鴉片的中樞抑制方向相反。B「意識過於警覺、呼吸急促」同屬興奮表現,非鴉片中毒。C「複視、影像變形、心跳過速」較像其他藥物或戒斷表現,且鴉片中毒瞳孔是「縮」非放大,故三者皆與鴉片過量的抑制性表現不符。","鴉片中毒經典三聯徵(opioid triad):意識降低(嗜睡\u002F昏迷)、呼吸抑制、針狀瞳孔——呼吸抑制是致命關鍵,解毒劑為 naloxone(拮抗μ受體)。記憶對照:『中毒縮瞳、抑制、慢』對上『戒斷放瞳、亢奮、流』,一縮一放最好分。此考點臨床意義在於——見到針狀瞳孔加呼吸抑制,即高度懷疑鴉片過量,是急救辨識的重要線索。",[24,27,30,32],{"term":25,"count":26},"呼吸抑制",4,{"term":28,"count":29},"針狀瞳孔",2,{"term":31,"count":10},"鴉片中毒三聯徵",{"term":33,"count":10},"naloxone拮抗",[35,39,43,48,53,58],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-106-1-psychiatric-community-029","強迫症患者（obsessive-compulsive disorder, OCD）之強迫行為與下列那一種防衛機轉最有相關？",29,{"webId":40,"stem":41,"number":42,"year":9,"session":29},"nurse-106-2-psychiatric-community-045","某社區正流行登革熱，在 4 月 1 日調查 1,000 人，其中有 100 人證實已被感染到登革熱，在 6 月 1 日調查同一群人口，又另確認出 100 人感染到登革熱，有關此社區的登革熱流行狀況，下列何者正確？",45,{"webId":44,"stem":45,"number":46,"year":47,"session":10},"nurse-107-1-psychiatric-community-059","從印尼旅遊回國的林小姐，機場通關時，發現體溫為 39℃，就醫後確診為登革熱。下列描述何者正確？①衛生機關要追查同行者暴露史及健康資料 ②感染某一型登革熱病毒患者，對該型病毒仍會重複感染 ③只要入境就須進行檢疫程序 ④登革熱只要服藥治療期間，仍可捐血 ⑤登革熱應儘速於 24 小時內通報",59,107,{"webId":49,"stem":50,"number":51,"year":52,"session":10},"nurse-109-1-psychiatric-community-017","躁症病人於住院期間，極易受到他人的影響，下列活動安排何者最適宜？",17,109,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-110-1-psychiatric-community-061","若紫外線指數為 7，且空氣品質指標（AQI）為 130，下列何者正確？",61,110,{"webId":59,"stem":60,"number":61,"year":62,"session":29},"nurse-111-2-psychiatric-community-015","關於認知行為治療技巧的敘述，下列何者最適當？",15,111,"2026-09-04",1788510694859]