[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-106-2-psychiatric-community-022":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"lastmod":62},"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-106-2-精神科與社區衛生護理學-022","nurse-106-2-psychiatric-community-022",106,2,22,"長期大量使用某種物質，在停用或減用後，會出現渴藥、不安、流淚、發汗、瞳孔放大、虛弱無力、噁心、腹痛、骨頭酸痛、失眠等，最可能是下列何種濫用物質的戒斷反應？",{"A":14,"B":15,"C":16,"D":17},"鴉片類（Opioids）","天使塵（PCP）","大麻類（Cannabinoids）","K 他命（ketamine）","A",null,[],"本題考點為鴉片類（opioids）戒斷症候群的辨識。依鴉片戒斷的臨床特徵，停用後出現渴藥、流淚、流汗、瞳孔放大、噁心、腹痛、肌肉骨骼酸痛、失眠等類流感樣自律神經亢進表現，與題幹完全吻合，故正解為 A。B 錯在天使塵（PCP）中毒以激動、暴力、眼球震顫、痛覺遲鈍為主，戒斷症狀不典型。C 錯在大麻戒斷症狀相對輕微（易怒、失眠、食慾下降），無瞳孔放大與骨頭酸痛等強烈自律神經表現。D 錯在 K 他命（ketamine）主要為解離與擬幻作用，戒斷生理反應不明顯，與題述劇烈戒斷表現不符。","鴉片戒斷記憶重點：非致命但極不適，呈「類流感＋自律神經亢進」——流淚、流鼻水、打呵欠、瞳孔放大（散大）、雞皮疙瘩、冒汗、腹瀉腹痛、肌肉骨骼酸痛、渴藥。關鍵鑑別點是「瞳孔放大」：鴉片中毒時瞳孔縮小（針尖狀），戒斷時反跳為放大。口訣「戒鴉片＝全身酸、瞳孔大、直流淚」。治療可用 methadone\u002Fbuprenorphine 替代或 clonidine 緩解自律神經症狀。",[24,27,29,31],{"term":25,"count":26},"鴉片類(opioids)戒斷症候群",1,{"term":28,"count":26},"瞳孔放大",{"term":30,"count":26},"自律神經亢進",{"term":32,"count":26},"物質戒斷鑑別",[34,38,43,47,52,57],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-106-2-psychiatric-community-023","有關自殺防治的敘述，下列何者正確？",23,{"webId":39,"stem":40,"number":41,"year":42,"session":26},"nurse-107-1-psychiatric-community-039","王先生不確定是否為精神科病人，因為在街頭揮舞水果刀，被居民合力帶至醫院急診室求治，王先生見到精神科醫師，仍拿著水果刀對醫師表示：「你若敢動我，我就告你侵犯人身自由，我又沒怎樣，我只是在運動」，此時急診護理師採取的措施，下列何項最適切？",39,107,{"webId":44,"stem":45,"number":46,"year":42,"session":10},"nurse-107-2-psychiatric-community-053","社區衛生護理可分為綜合性（generalized）與專科化（specialized）兩種方式推展，有關綜合性社區衛生護理的敘述，下列何者錯誤？",53,{"webId":48,"stem":49,"number":50,"year":51,"session":10},"nurse-109-2-psychiatric-community-011","王女士平日容易緊張且抱怨晚上睡不好，醫師開立 triazolam（Halcion）0.25 mg 睡前服用，護理師給予服藥注意事項之指導，下列何項正確？①注意暈眩並防跌倒 ②造成靜坐困難 ③避免同時吃葡萄柚 ④避免同時服用紅黴素（erythromycin）",11,109,{"webId":53,"stem":54,"number":55,"year":56,"session":10},"nurse-110-2-psychiatric-community-055","社區護理師與社區運動性社團共同推動健康體能活動，是依據社區健康營造的何種步驟？",55,110,{"webId":58,"stem":59,"number":60,"year":61,"session":26},"nurse-112-1-psychiatric-community-009","協助病人規則服用 Lithium Carbonate，下列措施何者最不適宜？",9,112,"2026-09-04",1788510700049]