[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-111-1-psychiatric-community-027":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"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":25},"nurse-111-1-精神科與社區衛生護理學-027","nurse-111-1-psychiatric-community-027",111,1,27,"有關海洛因中毒症狀的敘述，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"瞳孔放大","心跳變慢","昏迷","呼吸抑制","A",null,[],"本題考點在鴉片類（海洛因）中毒的典型三徵，屬「找錯誤」題。依藥理學，海洛因為鴉片類（opioid）致效劑，作用於 μ 受體，中毒典型表現為「瞳孔縮小（針點狀瞳孔）、意識抑制（昏迷）、呼吸抑制」三聯徵。A 敘述「瞳孔放大」與事實相反，鴉片類中毒為瞳孔縮小，故 A 為錯誤敘述，即為答案。考點在於辨識鴉片類與興奮劑中毒的瞳孔差異。B 心跳變慢、C 昏迷、D 呼吸抑制皆為鴉片類中毒正確表現，屬中樞與自主神經整體抑制。故選 A。","μ 受體活化抑制腦幹呼吸中樞對二氧化碳的敏感度，是致死主因；副交感優勢造成 Edinger-Westphal 核活化而瞳孔縮小。拮抗劑 naloxone 可競爭性逆轉呼吸抑制與縮瞳。對比記憶：鴉片＝瞳孔『小』＋呼吸『慢』＋昏迷（downers）；安非他命／古柯鹼等興奮劑＝瞳孔『大』＋心跳快＋血壓升（uppers）。臨床見昏迷合併針點瞳孔與呼吸抑制，高度指向鴉片類過量。",[24,26,28,30,32],{"term":17,"count":25},4,{"term":27,"count":10},"鴉片類中毒三徵",{"term":29,"count":10},"μ 鴉片受體",{"term":31,"count":10},"針點狀瞳孔",{"term":33,"count":10},"naloxone",[35,39,44,49,54,59],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-111-1-psychiatric-community-028","有關酒精成癮治療的敘述，下列何者錯誤？",28,{"webId":40,"stem":41,"number":42,"year":9,"session":43},"nurse-111-2-psychiatric-community-044","有關鉛中毒的敘述，下列何者最不適當？",44,2,{"webId":45,"stem":46,"number":47,"year":48,"session":10},"nurse-112-1-psychiatric-community-058","社區護理師發現某社區成人健康檢查，結果有 60%的受檢者身體質量指數（BMI）超過 27 kg\u002Fm 2 ，下列何項護理指導內容最不符合第一段預防策略？",58,112,{"webId":50,"stem":51,"number":52,"year":53,"session":10},"nurse-113-1-psychiatric-community-046","有關出院準備服務之敘述，下列何者最不適當？",46,113,{"webId":55,"stem":56,"number":57,"year":58,"session":43},"nurse-114-2-psychiatric-community-050","有關校園中健康問題處理的優先順序，下列何者應優先處理？",50,114,{"webId":60,"stem":61,"number":42,"year":62,"session":10},"nurse-106-1-psychiatric-community-044","有關因果關係的判斷敘述，下列何者錯誤？",106,"2026-09-04",1788510736397]