[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-110-1-psychiatric-community-025":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":32,"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-110-1-精神科與社區衛生護理學-025","nurse-110-1-psychiatric-community-025",110,1,25,"依據 DSM-5 所訂定之標準，物質使用障礙症（substance use disorders）中，有關耐受性（tolerance）的敘述，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"使用物質過量或過久，會花時間去尋找使用的物質","因物質使用嚴重，而產生了生理上的依賴，一旦停止使用，會導致身心不適","使用物質造成身體傷害，明知使用物質對身體有傷害仍持續使用","指腦部及身體已適應較高的物質濃度，因此需要更多的物質，才能達到原來的效果","D",null,[],"本題考點為DSM-5物質使用障礙症中「耐受性(tolerance)」的定義。考點在於辨識耐受性即身體適應後需增量才能達原效果,故選D。依DSM-5,耐受性指腦部與身體對物質產生適應,需要更高劑量才能獲得先前相同的效果,或相同劑量效果遞減,故D正確。A「花時間尋找使用物質」屬使用行為與時間耗費的準則,非耐受性。B「停用即身心不適」描述的是戒斷(withdrawal)而非耐受性。C「明知有害仍持續使用」屬失控使用準則,亦非耐受性。三個錯項皆為物質使用障礙的其他準則,用以測試能否精準區分。","DSM-5物質使用障礙11項準則可分四群:控制受損、社會功能受損、危險使用、藥理指標。耐受性與戒斷同屬藥理指標,最易混淆:耐受性=同劑量效果變差、須加量(適應在前);戒斷=停用或減量後出現特定生理心理症狀(依賴的反向表現)。記憶法「耐受要更多、戒斷會難受」。B正是用戒斷定義來偽裝耐受性的經典陷阱。掌握「耐受=增量求原效」這一句即可穩定作答,並與尋找物質、明知有害仍用等行為性準則區分開。",[24,26,28,30],{"term":25,"count":10},"DSM-5物質使用障礙",{"term":27,"count":10},"耐受性tolerance",{"term":29,"count":10},"與戒斷withdrawal鑑別",{"term":31,"count":10},"藥理性診斷準則",[33,37,42,47,52,57],{"webId":34,"stem":35,"number":36,"year":9,"session":10},"nurse-110-1-psychiatric-community-026","美沙冬（Methadone）可作為海洛因（Heroin）的替代治療藥物之原因，下列敘述何者錯誤？",26,{"webId":38,"stem":39,"number":40,"year":9,"session":41},"nurse-110-2-psychiatric-community-042","有關現行衛生福利部組織之敘述，下列何者正確？",42,2,{"webId":43,"stem":44,"number":45,"year":46,"session":10},"nurse-111-1-psychiatric-community-056","有關衛生福利部國民健康署推動健康識能（health literacy）的狀況，下列敘述何者錯誤？",56,111,{"webId":48,"stem":49,"number":50,"year":51,"session":41},"nurse-112-2-psychiatric-community-014","個別心理治療的主要目的與原則，適當的措施包括下列那些項目？①鼓勵病人自我表露 ②修正阻礙改變的阻力 ③協助了解疾病診斷 ④提供社區就業資訊",14,112,{"webId":53,"stem":54,"number":55,"year":56,"session":41},"nurse-113-2-psychiatric-community-038","有關職業健康危害因子，下列何者不屬於物理性危害？",38,113,{"webId":58,"stem":59,"number":60,"year":61,"session":62},"nurse-114-3-psychiatric-community-032","進行社區健康評估時，蒐集社區提供獨居老人共餐情形，主要是下列何種系統的資料蒐集？",32,114,3,"2026-09-04",1788510722635]