[{"data":1,"prerenderedAt":61},["ShallowReactive",2],{"q-nurse-111-1-psychiatric-community-078":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":32,"lastmod":60},"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-111-1-精神科與社區衛生護理學-078","nurse-111-1-psychiatric-community-078",111,1,78,"有關戒菸的護理指導，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"戒菸會有戒斷症候群，是體內尼古丁減少的正常反應","減少吸菸量，就可以成功戒菸","使用電子菸替代一般菸品有助戒菸","所有吸菸者都是戒菸治療服務對象","A",null,[],"本題考點是戒菸護理指導的正確觀念。依尼古丁成癮生理，戒菸初期因體內尼古丁濃度下降會出現戒斷症候群（如煩躁、注意力不集中、渴菸、失眠），這是正常的生理反應，故 A 正確。B 錯，「減量」不等於能成功戒菸，多數人減量後仍難擺脫成癮，完全戒除才是目標。C 錯，電子菸仍含尼古丁且成分風險未明，並非有效或安全的戒菸輔助，不應以電子菸替代菸品作為戒菸方法。D 錯，戒菸治療服務有其特定收案條件（如尼古丁依賴程度、意願），並非「所有吸菸者」皆為治療對象，敘述過於絕對。因此正確者為 A。","尼古丁作用於中腦邊緣多巴胺獎賞系統，戒斷時多巴胺驟降產生戒斷症候群，通常戒後數小時出現、24–72 小時達高峰、2–4 週漸緩。戒菸實證策略包含行為諮商（5A：Ask、Advise、Assess、Assist、Arrange）與藥物（尼古丁替代療法、Bupropion、Varenicline）。電子菸並非核可的戒菸藥物，且可能造成新的尼古丁依賴與肺部傷害，故不建議作替代。減量法成效有限，因成癮者易在渴求下回升菸量。判題重點：辨識「戒斷症候群為正常生理反應」這一正確概念，並看穿「減量＝成功」「電子菸助戒菸」「所有人皆治療對象」三個過度或錯誤的推論。",[24,26,28,30],{"term":25,"count":10},"尼古丁戒斷症候群",{"term":27,"count":10},"戒菸 5A 策略",{"term":29,"count":10},"尼古丁替代療法",{"term":31,"count":10},"電子菸非戒菸工具",[33,37,42,47,52,56],{"webId":34,"stem":35,"number":36,"year":9,"session":10},"nurse-111-1-psychiatric-community-079","以腰圍作為代謝症候群指標之一，是因為腹部肥胖可以推估下列何者之多寡？",79,{"webId":38,"stem":39,"number":40,"year":41,"session":10},"nurse-112-1-psychiatric-community-015","陳先生診斷為思覺失調症，有嚴重幻聽干擾，時而聽見有人在稱讚他，時而又在指責他，導致他情緒起伏不定，因而多數時間都獨自躺床與幻聽對話。下列何項護理措施最適宜？",15,112,{"webId":43,"stem":44,"number":45,"year":41,"session":46},"nurse-112-2-psychiatric-community-029","有關物質使用障礙症的護理措施中，下列何者較不適切？",29,2,{"webId":48,"stem":49,"number":50,"year":51,"session":46},"nurse-113-2-psychiatric-community-047","有關長期照護中社區式照護的資源，下列何者不適當？",47,113,{"webId":53,"stem":54,"number":10,"year":55,"session":10},"nurse-115-1-psychiatric-community-001","吳小姐，24歲，碩士生，單親家庭，因應疫情返家遠距學習，在家期間與母親朝夕相處備感壓力。返診時對護理師說:「我坐在房間窗邊會想，如果跳下去會怎樣？」，根據同理心的原則，下列何項護理師的回應最適切？",115,{"webId":57,"stem":58,"number":40,"year":59,"session":46},"nurse-106-2-psychiatric-community-015","王先生診斷雙相情緒障礙症，30 歲。王先生住院後，不斷的投書給醫院的院長，對病房設施提出多項建議，護理師的處置下列何者最適宜？",106,"2026-09-04",1788510736930]