[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-107-2-psychiatric-community-005":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":10},"nurse-107-2-精神科與社區衛生護理學-005","nurse-107-2-psychiatric-community-005",107,2,5,"羅太太為酒精物質使用障礙症，終日飲酒，住院後出現戒斷症狀，有交感神經興奮症狀，並已出現肝硬化之系統性合併症，下列說明何者正確？",{"A":14,"B":15,"C":16,"D":17},"羅太太的戒斷症狀是因為突然停酒的關係，因此應提供微量酒精以緩解戒斷症狀","羅太太的酒精戒斷和正腎上腺素的增加都會增加鎂離子的濃度，會增加交感神經的活動","酒精戒斷時會提高 GABA 的抑制功能，降低多巴胺的活性","羅太太出現酒精性幻覺，多為嗅幻覺","B",null,[],"本題考點在於酒精戒斷的神經生理與臨床辨識。答案為 B,但需說明:A、C、D 三項可明確判定錯誤——A 提供微量酒精緩解戒斷是錯誤做法,戒斷應以支持性藥物(如 benzodiazepine)處置;C 酒精戒斷時 GABA 抑制功能是「下降」而非提高,故中樞呈過度興奮;D 酒精性幻覺以視幻覺或聽幻覺為主,而非嗅幻覺。由排除法選 B。惟 B 中「戒斷會增加鎂離子濃度」與臨床上酒精戒斷常見「低血鎂」的認知不符,此為題目選項本身的敘述瑕疵,故把握度標低,不就該細節強加機轉。","酒精長期抑制中樞(增強 GABA、抑制 NMDA),突然停用後中樞反彈性過度興奮,交感神經亢進出現心悸、盜汗、顫抖、血壓上升,嚴重可致震顫性譫妄(DT)與癲癇。臨床上酒精戒斷者常合併低血鎂、低血鉀與硫胺(維生素 B1)缺乏,補充硫胺可預防 Wernicke 腦病變。本題 B 的鎂離子敘述與此不一致,屬命題爭議,答題以排除 A、C、D 較穩妥。",[24,26,29,31],{"term":25,"count":10},"酒精戒斷症候群",{"term":27,"count":28},"GABA 與中樞抑制",1,{"term":30,"count":28},"交感神經亢進",{"term":32,"count":28},"低血鎂(選項爭議)",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-107-2-psychiatric-community-006","患有憂鬱症的小華：「我不想繼續參加這個活動。」護理師：「活動不好玩嗎？」小華：「雖然有時活動很有趣，但我常覺得融入不了別人的話題。」護理師：「不能融入別人的話題讓你感到不舒服嗎？」上述情境中，護理師使用的治療性溝通技巧為何？",6,{"webId":39,"stem":40,"number":41,"year":42,"session":10},"nurse-108-2-psychiatric-community-022","與高齡老人一同翻閱家族相簿，回憶美好時光與成功經驗，提升其自尊與自信的治療為何？",22,108,{"webId":44,"stem":45,"number":46,"year":47,"session":28},"nurse-109-1-psychiatric-community-036","陳護理師服務於精神護理之家，她需協助住民提升其日常生活照顧功能。下列何項護理處置最適切？",36,109,{"webId":49,"stem":50,"number":51,"year":52,"session":28},"nurse-110-1-psychiatric-community-074","有關聯合國的「永續發展目標」（Sustainable Development Goals; SDGs）之敘述，下列何者錯誤？",74,110,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-111-2-psychiatric-community-038","陳女士，診斷為思覺失調症，因擅自停藥致病情復發，已入院治療一個月，預計下週辦理出院，有關出院準備的護理措施，下列何者最適當？",38,111,{"webId":59,"stem":60,"number":61,"year":62,"session":10},"nurse-112-2-psychiatric-community-072","根據長期照顧十年計畫 2.0，有關小規模多機能的服務項目，下列敘述何者最不適當？",72,112,"2026-09-04",1788510726510]