[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-110-1-psychiatric-community-027":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-027","nurse-110-1-psychiatric-community-027",110,1,27,"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？",{"A":14,"B":15,"C":16,"D":17},"維生素 A","維生素 B 1","維生素 D","維生素 K","B",null,[],"本題考點為酒精成癮者因維生素缺乏所致的維尼克氏腦症(Wernicke's encephalopathy)。考點在於辨識缺乏維生素B1(thiamine)為病因,故選B。依病生理,長期酗酒導致thiamine攝取與吸收不足,腦部能量代謝受損,出現意識障礙、眼肌麻痺、運動失調三主徵,故B正確。A維生素A缺乏主要與夜盲、上皮乾燥有關。C維生素D缺乏與骨質軟化、鈣磷代謝異常有關。D維生素K缺乏影響凝血因子合成、導致出血傾向。三者皆與此神經症候群無關,用以測試維生素功能的鑑別。","維尼克氏腦症的三主徵口訣「意識混亂、眼肌麻痺、運動失調」,病因是thiamine(B1)缺乏影響腦部葡萄糖代謝。臨床上為急性可逆期,若未及時補充B1可惡化為柯沙可夫症候群(Korsakoff syndrome)——以逆行與順行失憶、虛談(confabulation)為特徵,屬慢性且多不可逆,兩者合稱Wernicke-Korsakoff症候群。關鍵護理概念:對酗酒者給予葡萄糖前應先補充B1,否則可能誘發或加重腦病變。此題屬營養學與神經精神的交會考點,記牢「酒精、B1、三主徵、可能進展為失憶症候群」即可貫通。",[24,26,28,30],{"term":25,"count":10},"維尼克氏腦症",{"term":27,"count":10},"維生素B1 thiamine缺乏",{"term":29,"count":10},"眼肌麻痺與運動失調",{"term":31,"count":10},"柯沙可夫症候群進展",[33,37,42,47,52,57],{"webId":34,"stem":35,"number":36,"year":9,"session":10},"nurse-110-1-psychiatric-community-028","根據精神疾病診斷準則手冊（diagnostic and statistical manual of mental disorders：DSM-5），有關譫妄（delirium）的敘述，下列何者正確？",28,{"webId":38,"stem":39,"number":40,"year":9,"session":41},"nurse-110-2-psychiatric-community-044","未滿 1 歲 6 個月的兒童，全民健保提供幾次兒童預防保健服務？",44,2,{"webId":43,"stem":44,"number":45,"year":46,"session":10},"nurse-111-1-psychiatric-community-058","有關空氣污染的敘述，下列何者正確？",58,111,{"webId":48,"stem":49,"number":50,"year":51,"session":41},"nurse-112-2-psychiatric-community-016","有關家庭治療的護理措施，下列何者最適宜？",16,112,{"webId":53,"stem":54,"number":55,"year":56,"session":41},"nurse-113-2-psychiatric-community-040","有關食物中毒的緊急處理原則，下列何者錯誤？",40,113,{"webId":58,"stem":59,"number":60,"year":61,"session":62},"nurse-114-3-psychiatric-community-034","護理師讓學校教職員及學生瞭解感染 COVID-19 後，對健康可能造成的衝擊及預後，此策略主要為增強健康信念模式之何項認知？",34,114,3,"2026-09-04",1788510722645]