[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-110-1-psychiatric-community-026":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-026","nurse-110-1-psychiatric-community-026",110,1,26,"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？",{"A":14,"B":15,"C":16,"D":17},"避免使用針頭，減少 HIV 傳染","較少欣快感，且長期使用不易產生嗜睡或憂鬱","提升日常生活功能後，較能正常就業","不會造成依賴","D",null,[],"本題考點為美沙冬(Methadone)作為海洛因替代治療之特性,採反向命題找錯誤者。考點在於辨識「不會造成依賴」為錯誤敘述,故選D。依藥理學,美沙冬本身仍是長效類鴉片藥物,會產生生理依賴,替代治療的目的是以口服、長效、可控的方式取代注射海洛因,而非消除依賴,故D錯誤(為應選之答案)。A正確,口服給藥避免共用針頭可降低HIV等血源傳染。B正確,美沙冬欣快感較低、藥效平穩,較不引發強烈用藥循環。C正確,穩定用藥後可改善日常功能、提升就業與社會復歸的可能。","替代治療(substitution therapy)的核心邏輯是「以較安全、可控的長效類鴉片,換掉高風險的短效注射毒品」,藉此穩定受體、減少戒斷波動與犯罪、降低血源感染,而非讓病人立即無依賴——這是最常被誤解之處。美沙冬為完全致效劑,仍具成癮與過量風險;丁基原啡因(buprenorphine)為部分致效劑,安全性較高,兩者常被拿來對比。減害(harm reduction)概念是理解A、B、C為何正確的關鍵:目標是把傷害降到最低,而非一步到位戒除。D把替代治療誤讀為「消除依賴」,正是本題設計的核心誤區。",[24,26,28,30],{"term":25,"count":10},"美沙冬替代治療",{"term":27,"count":10},"類鴉片生理依賴",{"term":29,"count":10},"減害harm reduction",{"term":31,"count":10},"與丁基原啡因對比",[33,37,42,47,52,57],{"webId":34,"stem":35,"number":36,"year":9,"session":10},"nurse-110-1-psychiatric-community-027","酒精成癮的病人，因長期缺乏下列何種維生素，導致維尼克氏腦症（Wernicke’s encephalopathy），出現意識障礙、眼肌麻痺、運動失調症狀？",27,{"webId":38,"stem":39,"number":40,"year":9,"session":41},"nurse-110-2-psychiatric-community-043","有關全民健康保險預防保健服務的敘述，下列何者錯誤？",43,2,{"webId":43,"stem":44,"number":45,"year":46,"session":10},"nurse-111-1-psychiatric-community-057","有關體適能的敘述，下列何者錯誤？",57,111,{"webId":48,"stem":49,"number":50,"year":51,"session":41},"nurse-112-2-psychiatric-community-015","精神科急性病房為維持治療性的硬體環境，須符合下列那項原則？",15,112,{"webId":53,"stem":54,"number":55,"year":56,"session":41},"nurse-113-2-psychiatric-community-039","透過社區發展史的資料收集，最適合了解居民的下列何種特性？",39,113,{"webId":58,"stem":59,"number":60,"year":61,"session":62},"nurse-114-3-psychiatric-community-033","調查社區民眾自費支付 SARS-COV-2 病毒核酸檢驗的能力，是評估服務資源的那一項屬性？",33,114,3,"2026-09-04",1788510722641]