[{"data":1,"prerenderedAt":62},["ShallowReactive",2],{"q-nurse-112-1-psychiatric-community-027":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":32,"lastmod":61},"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-112-1-精神科與社區衛生護理學-027","nurse-112-1-psychiatric-community-027",112,1,27,"有關物質使用障礙症的治療原則中，下列敘述何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"在安非他命中毒的急性期時，治療包含洗胃、給與維生素 C 以酸化尿液，助安非他命排出體外","利用制癮劑（Disulfiram），使物質使用障礙症病人在使用物質時感到不舒服，而減少物質使用","美沙冬（Methadone），因其採口服，目前作為海洛因替代藥物，減少靜脈注射藥物及共用針頭所引起的疾病感染","長期飲酒導致威尼克氏腦病變（Wernicke’s encephalopathy），可口服或注射維生素 C 治療","D",null,[],"本題考點在於物質使用障礙症的治療原則。威尼克氏腦病變(Wernicke's encephalopathy)是長期飲酒導致維生素 B1(thiamine)缺乏所致,治療須補充維生素 B1 而非維生素 C,故 D 敘述錯誤,為本題答案。A 安非他命中毒以酸化尿液(維生素 C)促排除正確。B 制癮劑 Disulfiram 使飲酒者不適以減少使用正確。C 美沙冬口服作為海洛因替代療法可減少共用針頭感染,亦正確。本題為反向題,錯誤敘述為 D。","Wernicke 三聯徵:眼球運動異常、運動失調、意識混亂,病因是 thiamine(B1)缺乏,須及時補 B1 以免進展為不可逆的 Korsakoff 症候群。B1 與 C 的混淆是本題陷阱。安非他命屬鹼性,酸化尿液加速排除;Disulfiram 抑制乙醛去氫酶造成乙醛堆積不適。",[24,26,28,30],{"term":25,"count":10},"威尼克氏腦病變",{"term":27,"count":10},"維生素B1thiamine",{"term":29,"count":10},"美沙冬替代療法",{"term":31,"count":10},"酸化尿液",[33,37,42,47,52,57],{"webId":34,"stem":35,"number":36,"year":9,"session":10},"nurse-112-1-psychiatric-community-028","有關物質使用障礙症的生理層面護理措施，下列何者較不適宜？",28,{"webId":38,"stem":39,"number":40,"year":9,"session":41},"nurse-112-2-psychiatric-community-044","王太太 53 歲，從未接受過全民健康保險篩檢服務，目前無抽菸，檳榔已戒。社區衛生護理師可建議其接受那些篩檢項目？①乳房 X 光攝影 ②子宮頸抹片 ③糞便潛血 ④口腔黏膜",44,2,{"webId":43,"stem":44,"number":45,"year":46,"session":10},"nurse-113-1-psychiatric-community-008","葉同學剛滿18歲，診斷為雙相情緒障礙症（bipolar disorder），媽媽非常不解的詢問護理師為什麼會這樣。關於疾病的生物病因，下列何項回答最為適切？",8,113,{"webId":48,"stem":49,"number":50,"year":51,"session":41},"nurse-114-2-psychiatric-community-006","有關思覺失調症病因學，下列敘述何者正確？",6,114,{"webId":53,"stem":54,"number":55,"year":56,"session":10},"nurse-106-1-psychiatric-community-010","慢性間質性膀胱炎，最常見於那一種物質使用障礙症病人身上？",10,106,{"webId":58,"stem":59,"number":40,"year":60,"session":10},"nurse-107-1-psychiatric-community-044","食用未煮熟雞蛋而導致腸道疾病，最常見之細菌為何？",107,"2026-09-04",1788510743375]