[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-107-2-psychiatric-community-045":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":26},"nurse-107-2-精神科與社區衛生護理學-045","nurse-107-2-psychiatric-community-045",107,2,45,"王先生外出用餐食用生鮮魚貝類，返家後開始出現下痢、腹痛、噁心、嘔吐、頭痛、腹瀉等急性腸胃不適，依此症狀判斷，最有可能由何種細菌引起？",{"A":14,"B":15,"C":16,"D":17},"金黃色葡萄球菌","肉毒桿菌","沙門氏桿菌","腸炎弧菌","D",null,[],"本題考點在依食物來源與症狀判斷食物中毒的致病菌。生鮮魚貝類是腸炎弧菌（Vibrio parahaemolyticus）的典型來源，此菌為海洋性、嗜鹽細菌，食入後引起腹痛、腹瀉、噁心、嘔吐等急性腸胃炎，故選 D。（A）金黃色葡萄球菌以腸毒素致病、潛伏期短（1–6 小時），好發於乳製品、糕點等經手接觸的食物。（B）肉毒桿菌以神經毒素表現複視、吞嚥困難等神經症狀，非單純腸胃炎，常見於保存不當的罐頭。（C）沙門氏桿菌多與蛋、禽肉相關並常伴發燒。海鮮加嗜鹽是腸炎弧菌的辨識要點。","食物中毒配對記憶表：海鮮魚貝→腸炎弧菌（嗜鹽）；蛋、禽肉、未熟肉→沙門氏桿菌（伴發燒）；糕點、便當、經手食物、潛伏期最短→金黃色葡萄球菌（毒素型、加熱難破壞）；真空罐頭、香腸、神經症狀→肉毒桿菌（最致命）。腸炎弧菌怕淡水與低溫，海鮮以清水沖洗、冷藏、煮熟即可大幅降低風險，是台灣夏季最常見的細菌性食物中毒病原。",[24,27,30],{"term":25,"count":26},"細菌性食物中毒",3,{"term":28,"count":29},"腸炎弧菌 Vibrio parahaemolyticus",1,{"term":31,"count":29},"海鮮致病菌",[33,37,42,47,52,57],{"webId":34,"stem":35,"number":36,"year":9,"session":10},"nurse-107-2-psychiatric-community-046","依據勞動基準法第 52 條規定，除規定之休息時間外雇主應每日另提供產後職業婦女幾次哺乳時間？",46,{"webId":38,"stem":39,"number":40,"year":41,"session":10},"nurse-108-2-psychiatric-community-062","某研究想探討嚼檳榔與口腔癌是否有相關，研究者找了 50 位口腔癌患者及 50 位無口腔癌患者，並詢問是否有嚼檳榔。根據上述的病例對照研究資料，下列敘述何者正確？",62,108,{"webId":43,"stem":44,"number":45,"year":46,"session":29},"nurse-109-1-psychiatric-community-076","在長期照護機構內發現住民感染疥瘡，下列處理何者最不適當？",76,109,{"webId":48,"stem":49,"number":50,"year":51,"session":10},"nurse-110-2-psychiatric-community-034","有關罹患注意力缺陷過動症（ADHD）學齡期兒童的治療計畫，下列敘述何者錯誤？",34,110,{"webId":53,"stem":54,"number":55,"year":56,"session":10},"nurse-111-2-psychiatric-community-078","有關老人跌倒的危險因子中，下列何者屬於外因性的因素？",78,111,{"webId":58,"stem":59,"number":60,"year":61,"session":26},"nurse-112-3-psychiatric-community-032","推動社區健康營造相關活動前，所進行的健康社區評估具有三大面向的特色，不包含下列那一個面向？",32,112,"2026-09-04",1788510726916]