[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-111-2-psychiatric-community-026":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":35,"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":26},"nurse-111-2-精神科與社區衛生護理學-026","nurse-111-2-psychiatric-community-026",111,2,26,"張先生為長期飲酒，反覆住院戒酒之病人，此次入院後第二天，心跳過快、血壓升高、大量流汗，聲稱於病室內看到蛇。此時病人最可能出現的是下列何者？",{"A":14,"B":15,"C":16,"D":17},"酒精性失憶","躁症發作","癲癇發作","震顫性譫妄（delirium tremens）","D",null,[],"本題考點是酒精戒斷症候群的辨識。依酒精戒斷病程,長期飲酒者停酒後 48 至 72 小時可能出現震顫性譫妄(delirium tremens),特徵為自主神經過度活化(心搏過速、血壓升高、大量流汗、發燒)合併意識混亂與生動的視幻覺(如看見蛇、蟲),個案入院第二天出現上述典型表現,故 D 正確。A 錯在酒精性失憶以記憶缺損為主,不伴隨自主神經亢進與視幻覺。B 錯在躁症發作核心是情緒高昂、誇大、活動量增加,與戒斷生理症狀不符。C 錯在癲癇發作(戒斷性抽搐)多發生於停酒後 12 至 48 小時,表現為全身抽搐,而非持續的視幻覺與自主神經症狀。","酒精戒斷時間軸口訣「6 手抖、24 癲、72 譫妄」:停酒 6~12 小時出現手抖、焦慮、噁心;12~24 小時可有酒精性幻覺(意識清楚);12~48 小時戒斷性癲癇;48~72 小時震顫性譫妄——為最嚴重型態,屬內科急症,死亡率可達 5%。震顫性譫妄與單純酒精性幻覺的關鍵區別在「意識狀態」:前者意識混亂、定向感喪失,後者意識清楚。治療以苯二氮平類藥物(BZD)漸減法為主,並補充維生素 B1 預防 Wernicke 腦病變。",[24,27,30,33],{"term":25,"count":26},"視幻覺",5,{"term":28,"count":29},"震顫性譫妄",3,{"term":31,"count":32},"酒精戒斷症候群時程",1,{"term":34,"count":32},"自主神經過度活化",[36,40,45,49,54,59],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-111-2-psychiatric-community-027","物質使用障礙症病人，會產生心理依賴（psychological dependence），下列敘述何者正確？",27,{"webId":41,"stem":42,"number":43,"year":44,"session":32},"nurse-112-1-psychiatric-community-043","不同的研究團隊進行抽菸與肺癌關係的研究，結果皆發現抽菸與肺癌發生有顯著的關係，因此推論抽菸可能是導致肺癌的危險因子，這是依據下列何項條件所判定的因果關係？",43,112,{"webId":46,"stem":47,"number":48,"year":44,"session":10},"nurse-112-2-psychiatric-community-057","運用電視廣告宣傳民眾建立預防 COVID-19 行為，是屬於下列何種衛生教育方法？",57,{"webId":50,"stem":51,"number":52,"year":53,"session":29},"nurse-113-3-psychiatric-community-025","以心理健康促進三級預防概念，屬初級預防敘述下列何者正確？①於社區進行心理衛生問題評估篩檢 ② 提供張老師資源，以增加個人調適能力 ③舉辦健康講座，促進心理健康 ④輔導職能復健，增進其功能",25,113,{"webId":55,"stem":56,"number":57,"year":58,"session":32},"nurse-115-1-psychiatric-community-029","下列何者可作為評估婦幼衛生保健工作成效之指標？①自然增加率           ②嬰兒死亡率    ③孕產婦死亡率    ④社會增加率",29,115,{"webId":60,"stem":61,"number":43,"year":62,"session":10},"nurse-106-2-psychiatric-community-043","當社區衛生護理師的介入是針對物理環境（physical environment）的健康決定因子時，下列何者不是該社區適當的健康狀況指標？",106,"2026-09-04",1788510739954]