[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-107-1-psychiatric-community-066":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":32,"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":25},"nurse-107-1-精神科與社區衛生護理學-066","nurse-107-1-psychiatric-community-066",107,1,66,"造成細菌性食物中毒之病菌，具有革蘭氏陽性、附著於土壤及動物腸道、及對熱敏感 100℃持續加熱 3～5 分鐘以上無法生存，為下列何者？",{"A":14,"B":15,"C":16,"D":17},"腸炎弧菌","沙門氏菌","金黃色葡萄球菌","肉毒桿菌","D",null,[],"本題考點在細菌性食物中毒病原的鑑別特徵。題幹描述革蘭氏陽性、存在於土壤及動物腸道、對熱敏感（100℃ 持續加熱 3～5 分鐘以上即無法生存），綜合這些特徵指向肉毒桿菌（Clostridium botulinum），故選 D。A 腸炎弧菌與 B 沙門氏菌均為革蘭氏陰性菌，與「陽性」不符；C 金黃色葡萄球菌雖為革蘭氏陽性，但其所產生的腸毒素耐熱、一般加熱難以破壞，與題幹「對熱敏感、加熱即無法生存」不符。故依革蘭氏染色與耐熱性兩項特徵交叉判斷，答案為肉毒桿菌。","此題須分辨「菌體」與「毒素」的耐熱差異。肉毒桿菌為厭氧、產孢的革蘭氏陽性桿菌，其外毒素不耐熱，100℃ 數分鐘即可破壞（故食用前充分加熱可去毒），但芽孢耐熱、需高壓滅菌，這是罐頭與真空包裝食品防治的重點。金黃色葡萄球菌的腸毒素則耐熱，加熱殺菌卻毒素仍在，屬「毒素型」中毒代表。革蘭氏染色分群口訣：陰性有弧菌、沙門氏菌、大腸桿菌；陽性有葡萄球菌、肉毒桿菌、仙人掌桿菌。",[24,26,28,30],{"term":17,"count":25},3,{"term":27,"count":25},"細菌性食物中毒",{"term":29,"count":10},"革蘭氏染色",{"term":31,"count":10},"毒素不耐熱",[33,37,42,47,52,57],{"webId":34,"stem":35,"number":36,"year":9,"session":10},"nurse-107-1-psychiatric-community-067","下列何者，可作為一個國家用來評估婦幼衛生保健工作實行成效的最佳指標？",67,{"webId":38,"stem":39,"number":25,"year":40,"session":41},"nurse-108-2-psychiatric-community-003","一位曾經因精神疾患住院治療的 25 歲張小姐，返回原工作單位，被該私人公司主管以精神疾患為由解聘，下列敘述何者正確？",108,2,{"webId":43,"stem":44,"number":45,"year":46,"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":48,"stem":49,"number":50,"year":51,"session":10},"nurse-110-1-psychiatric-community-055","社區護理師欲教導初診糖尿病個案學習調整日常飲食習慣，下列何種教學方法較適當？",55,110,{"webId":53,"stem":54,"number":55,"year":56,"session":41},"nurse-111-2-psychiatric-community-019","王小姐，與男朋友分手後，出現被跟蹤的感覺，身邊沒有人時卻聽到有人跟她說話，害怕到無法外出工作，且上述症狀持續 1 個月以上。依據 DSM-5 診斷準則，下列何者是王小姐最可能的診斷？",19,111,{"webId":58,"stem":59,"number":60,"year":61,"session":41},"nurse-112-2-psychiatric-community-053","有關社區評估中重要人物訪談的敘述，下列何項最適當？",53,112,"2026-09-04",1788510704611]