[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-109-1-psychiatric-community-029":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"lastmod":64},"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-109-1-精神科與社區衛生護理學-029","nurse-109-1-psychiatric-community-029",109,1,29,"有關物質使用障礙症的敘述，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"酒精使用障礙症與乙醛脫氫酶（aldehyde dehydrogenase; ALDH）的代謝有關","精神動力學說認為此種個案的發展固著在性蕾期","父、母親為酗酒者，子女酗酒行為的比例比一般人高","青少年常因為好奇，並想要尋求同儕之認同，因此容易在朋友的邀約及慫恿下嘗試使用物質","B",null,[],"本題考點在於物質使用障礙症的病因學說,題目要選「錯誤」敘述。依精神分析學說,物質使用障礙個案的發展固著點被認為停留在「口腔期(oral stage)」——透過口部攝取尋求滿足與依賴,而非性蕾期,故B敘述錯誤,為正解。A正確,酒精代謝與乙醛脫氫酶(ALDH)活性有關,缺陷者飲酒後乙醛堆積而臉紅不適。C正確,父母酗酒者子女酗酒比例較高,反映遺傳與環境學習交互影響。D正確,青少年常因好奇、尋求同儕認同,在朋友邀約慫恿下嘗試物質。唯B將固著期誤植為性蕾期,與口腔期理論不符,故為錯誤敘述。","Freud性心理發展:口腔期(0–1歲,以口滿足)、肛門期、性蕾期(伊底帕斯情結)、潛伏期、生殖期。成癮的精神動力觀強調口腔依賴需求未滿足,固著於口腔期,以物質尋求口欲滿足與安全感。生物面:ALDH缺陷影響酒精耐受;家族聚集反映基因+社會學習。記憶:成癮=口腔期固著,考「性蕾期」即為錯誤陷阱。",[24,27,29,31],{"term":25,"count":26},"物質使用障礙症",6,{"term":28,"count":10},"精神分析固著理論",{"term":30,"count":10},"口腔期",{"term":32,"count":10},"乙醛脫氫酶ALDH",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-109-1-psychiatric-community-030","王先生是一位酒癮個案，在照護有關酒精使用障礙症的護理目標中，下列敘述何者正確？",30,{"webId":39,"stem":40,"number":41,"year":9,"session":42},"nurse-109-2-psychiatric-community-046","長期照顧十年計畫 2.0 中預防失能的服務，包括下列那些項目？①口腔保健 ②認知促進 ③膳食營養 ④職業訓練",46,2,{"webId":44,"stem":45,"number":46,"year":47,"session":10},"nurse-110-1-psychiatric-community-060","水污染愈嚴重時，愈容易發生下列那種情況？",60,110,{"webId":49,"stem":50,"number":51,"year":52,"session":42},"nurse-111-2-psychiatric-community-018","小菲，18 歲，診斷為思覺失調症。小菲雖有規則服藥，但是幻聽干擾時好時壞。父母打聽可以做電氣痙攣療法，因此詢問護理師的意見，下列何者回答最適當？",18,111,{"webId":54,"stem":55,"number":56,"year":57,"session":42},"nurse-112-2-psychiatric-community-062","有關自來水淨水過程，下列何種消毒法最為廣泛且價格最便宜？",62,112,{"webId":59,"stem":60,"number":61,"year":62,"session":63},"nurse-113-3-psychiatric-community-026","王小姐在出國旅遊時突然生病，需在當地醫院接受治療。根據我國「全民健康保險法」，她可以如何處理相關的醫療費用？",26,113,3,"2026-09-04",1788510714228]