[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-109-1-psychiatric-community-030":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":26},"nurse-109-1-精神科與社區衛生護理學-030","nurse-109-1-psychiatric-community-030",109,1,30,"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？",{"A":14,"B":15,"C":16,"D":17},"短期目標為斷絕酒精和其他物質來源","中期目標為處理戒斷症狀和預防合併症","長期目標為持續追蹤、強化支持、預防再度使用","酒精使用障礙症病人，大多數能夠在短時間戒斷，故可以採取漸進式戒除","C",null,[],"本題考點在於酒精使用障礙症護理目標的階段性劃分。依戒癮照護的短、中、長期目標,長期目標為持續追蹤、強化支持系統、預防再度使用(復發預防),故C正確。A錯,「斷絕酒精與物質來源」及處理戒斷是急性期\u002F短期目標,短期首重安全戒斷。B錯,處理戒斷症狀與預防合併症屬急性期短期目標,非中期。D錯,酒精依賴者多無法短時間內輕易戒斷,酒精戒斷甚至可能危及生命(如震顫性譫妄),「大多能短期戒斷」與臨床事實不符。唯C正確定位長期目標為追蹤、支持與預防復發。","戒癮三階段目標:短期=安全度過戒斷、處理急性合併症;中期=建立戒癮動機、學習因應技巧、處理心理依賴;長期=持續追蹤、社會支持、預防復發與維持戒斷。酒精戒斷症候群可致癲癇與震顫性譫妄(DTs),屬醫療急症。記憶:短期保命戒斷、中期改變因應、長期防復發;成癮是慢性復發性疾病,重在長期支持。",[24,27,29,31],{"term":25,"count":26},"酒精使用障礙症",2,{"term":28,"count":26},"復發預防",{"term":30,"count":26},"戒斷症候群",{"term":32,"count":10},"戒癮階段性目標",[34,38,42,47,52,57],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-109-1-psychiatric-community-031","精神疾病診斷準則手冊（DSM-5）對於「認知障礙症」所提出的認知功能範疇，下列何項正確？",31,{"webId":39,"stem":40,"number":41,"year":9,"session":26},"nurse-109-2-psychiatric-community-047","有關社區增能（empower）的描述，下列敘述何者錯誤？",47,{"webId":43,"stem":44,"number":45,"year":46,"session":10},"nurse-110-1-psychiatric-community-061","若紫外線指數為 7，且空氣品質指標（AQI）為 130，下列何者正確？",61,110,{"webId":48,"stem":49,"number":50,"year":51,"session":26},"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":53,"stem":54,"number":55,"year":56,"session":26},"nurse-112-2-psychiatric-community-063","家訪時個案家庭圈如圖示，下列敘述何者較適當？①所繪的家庭圈必須是和家人商議後的結果 ②家庭圈會隨時間變動 ③在個案的心中，自己和妻子在家中的付出最多 ④個案在家中和妻子的關係最親近 ⑤次子在家中的權力小於長子",63,112,{"webId":58,"stem":59,"number":60,"year":61,"session":62},"nurse-113-3-psychiatric-community-027","根據我國現行全民健康保險給付項目，下列那些項目屬於醫療給付範圍？①血液透析治療 ②針灸治療 ③義齒 ④輪椅",27,113,3,"2026-09-04",1788510714232]