[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-109-1-psychiatric-community-064":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"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":10},"nurse-109-1-精神科與社區衛生護理學-064","nurse-109-1-psychiatric-community-064",109,1,64,"有關化學性水媒疾病，下列敘述何者正確？",{"A":14,"B":15,"C":16,"D":17},"水俁病是因含汞廢水污染水質使魚類「生物濃縮」作用與「食物鏈」傳播，而造成中樞神經等病變","痛痛病是因地下水含砷等造成皮膚、心血管等病變","威爾遜症是因含鎘廢水灌溉稻田，造成稻米的「生物濃縮」而引起骨骼等病變","烏腳病與水中之硝酸鹽或亞硝酸鹽過量有關","A",null,[],"本題考點是四大化學性水媒公害病與致病金屬、機轉的正確配對。依環境流行病學,水俁病由含汞廢水污染水體,經魚貝類「生物濃縮」並沿「食物鏈」放大,人食後甲基汞侵犯中樞神經,A 完全正確,選 A。B 錯:痛痛病致病金屬是鎘而非砷,造成骨軟化與腎損傷。C 錯:威爾遜症是遺傳性銅代謝異常,與含鎘廢水灌溉稻田無關;鎘污染稻米導致的正是痛痛病。D 錯:烏腳病與飲用地下水含砷長期暴露有關,而非硝酸鹽或亞硝酸鹽。","口訣「汞俁、鎘痛、砷腳」:汞→水俁病(中樞神經)、鎘→痛痛病(骨骼腎臟)、砷→烏腳病(周邊血管末梢壞疽)。生物濃縮(bioconcentration)指污染物在單一生物體內累積,生物放大(biomagnification)指沿食物鏈逐級升高,水俁病兩者兼具。威爾遜症屬遺傳性銅蓄積(肝、腦、Kayser-Fleischer 環),不是水媒公害,常被拿來當誘答干擾遺傳病與公害病的分辨。",[24,26,28,30,32],{"term":25,"count":10},"水俁病",{"term":27,"count":10},"痛痛病",{"term":29,"count":10},"烏腳病",{"term":31,"count":10},"生物濃縮與食物鏈",{"term":33,"count":10},"威爾遜症",[35,39,43,48,53,59],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-109-1-psychiatric-community-065","下列何種措施最有助於降低病態建築症候群（sick building syndrome, SBS）的發生？",65,{"webId":40,"stem":41,"number":10,"year":42,"session":10},"nurse-110-1-psychiatric-community-001","依據現行精神衛生法，基於對精神病人的保護，經專科醫師診斷或鑑定，屬嚴重病人者，應置保護人一人。專科醫師應開具診斷證明書交付保護人，此保護人應考量嚴重病人利益。依條文敘述保護人可為：①監護人 ②法定代理人 ③同居人 ④配偶 ⑤父母 ⑥家屬 ⑦心理師",110,{"webId":44,"stem":45,"number":46,"year":42,"session":47},"nurse-110-2-psychiatric-community-015","有關雙相情緒障礙（bipolar disorder）的病因，下列敘述何者正確？",15,2,{"webId":49,"stem":50,"number":51,"year":52,"session":47},"nurse-111-2-psychiatric-community-053","有關評估社區民眾需求與互動方式的資料，下列何者較不適當？",53,111,{"webId":54,"stem":55,"number":56,"year":57,"session":58},"nurse-112-3-psychiatric-community-017","林同學，20 歲，上台報告時總是會極度恐懼或焦慮，也無法在公共場所用餐，平時會儘量避免與他人交談或互動。林同學最有可能的問題是下列何者？",17,112,3,{"webId":60,"stem":61,"number":62,"year":63,"session":10},"nurse-114-1-psychiatric-community-011","​宋 小姐因情緒低落且有自殺行為，入院治療已兩週，常一個人臥床獨處，少與其他病友互動。下列何項護理措施最適宜？",11,114,"2026-09-04",1788510714587]