[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-111-2-psychiatric-community-007":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"lastmod":62},"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":26},"nurse-111-2-精神科與社區衛生護理學-007","nurse-111-2-psychiatric-community-007",111,2,7,"有關 Benzodiazepine(BZD)類藥物，下列注意事項敘述何者最適當？",{"A":14,"B":15,"C":16,"D":17},"為海洛因成癮替代療法之主要用藥","可減緩病人因酒精戒斷產生的不適","短效型藥物的半衰期為 12 小時以上才能達助眠效果","長期使用 BZD 不會發生耐受性、成癮性和戒斷症狀","B",null,[],"本題考點為 Benzodiazepine(BZD)類藥物的用藥注意事項。BZD 具鎮靜、抗焦慮、抗痙攣作用,並能與酒精作用於相同的 GABA 受體,故可用於緩解酒精戒斷引起的焦躁、震顫與癲癇等不適,B 敘述正確,為答案。A 錯在海洛因(鴉片類)成癮的替代療法主要用美沙冬(Methadone)或丁基原啡因,而非 BZD;C 錯在短效型藥物半衰期短,反而適合助眠且減少次日殘留,「半衰期需 12 小時以上才能助眠」敘述有誤;D 錯在長期使用 BZD 確實會產生耐受性、成癮性與戒斷症狀,不可謂「不會」。考點在於掌握 BZD 用於酒精戒斷的機轉及其成癮風險。","BZD 增強 GABA 抑制作用,與酒精有交叉耐受性,故為酒精戒斷(含震顫譫妄 DT)的首選用藥。長期使用會耐受、依賴,驟停可致反彈性焦慮、失眠甚至癲癇,須漸進減量。助眠選短效(減少宿醉感),抗焦慮選長效。鴉片替代療法用美沙冬,勿與 BZD 混淆。",[24,27,29,32],{"term":25,"count":26},"Benzodiazepine",3,{"term":28,"count":10},"GABA 受體",{"term":30,"count":31},"酒精戒斷",1,{"term":33,"count":31},"耐受與成癮性",[35,39,44,48,53,58],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-111-2-psychiatric-community-008","羅小姐，30 歲，診斷為雙相情緒障礙症，居家護理師至其家中訪視，發現可能是躁症發作。下列何者為其最可能出現的症狀？",8,{"webId":40,"stem":41,"number":42,"year":43,"session":31},"nurse-112-1-psychiatric-community-024","有關中度焦慮的照護原則，下列何者最適宜？",24,112,{"webId":45,"stem":46,"number":47,"year":43,"session":10},"nurse-112-2-psychiatric-community-038","社區精神復健中心的服務對象之收案條件，下列何者正確？",38,{"webId":49,"stem":50,"number":51,"year":52,"session":26},"nurse-113-3-psychiatric-community-006","有關認知行為治療的特徵，下列敘述何者最適切？",6,113,{"webId":54,"stem":55,"number":56,"year":57,"session":31},"nurse-115-1-psychiatric-community-010","有關病人保護約束隔離期間的護理措施，下列何者正確？",10,115,{"webId":59,"stem":60,"number":42,"year":61,"session":10},"nurse-106-2-psychiatric-community-024","老年失智症病人會出現黃昏症候群（sundown syndrome），係指下列何種現象？",106,"2026-09-04",1788510739780]