[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-112-2-psychiatric-community-027":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"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":10},"nurse-112-2-精神科與社區衛生護理學-027","nurse-112-2-psychiatric-community-027",112,2,27,"有關酒精使用障礙症，下列敘述何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"酒精主要在小腸吸收，若喝酒又喝水，將增加酒精在體內的吸收","酒精戒斷的個案在戒斷後，會產生酒精戒斷譫妄（delirium tremor）","常因營養不良及維生素 E 缺乏，而發生周圍神經病變","酒精戒斷症狀會出現焦慮、手抖增加、流汗等症狀","C",null,[],"本題考點是酒精使用障礙症的生理併發症，錯誤敘述為 C。長期酒精濫用引起的周圍神經病變主因是維生素 B1（硫胺，thiamine）缺乏，而非維生素 E 缺乏，B1 缺乏同時也是 Wernicke-Korsakoff 症候群的成因，故 C 敘述錯誤為正解。A 正確，酒精主要在小腸吸收，同時飲水可稀釋並促進通過胃部、加速小腸吸收。B 正確，重度依賴者戒斷後可能出現酒精戒斷譫妄（delirium tremens），表現為意識混亂、幻覺與自主神經亢進，屬急重症。D 正確，酒精戒斷早期症狀包括焦慮、手抖、流汗、心悸等交感神經過度活化表現。考點在於辨識酒精相關神經病變的營養缺乏是 B1 而非 E。","酒精抑制硫胺吸收與利用，故補充葡萄糖前須先給 B1，否則恐誘發 Wernicke 腦病變（眼球運動異常、共濟失調、意識混亂三聯徵）。delirium tremens 多在停酒後 48–72 小時出現，死亡率不低，須密切監測生命徵象並使用 benzodiazepine 控制。記憶口訣：酒精傷神經找 B1（Thiamine），別記成 E。可延伸連結 CAGE 篩檢、CIWA-Ar 戒斷評估量表與 Korsakoff 失憶症候群。",[24,26,29,31],{"term":25,"count":10},"酒精使用障礙症",{"term":27,"count":28},"維生素 B1(硫胺)缺乏",1,{"term":30,"count":28},"周圍神經病變",{"term":32,"count":28},"酒精戒斷譫妄 delirium tremens",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-112-2-psychiatric-community-028","鴉片類的物質其作用越短效，引起的戒斷症狀發作及持續時間的通則為何？",28,{"webId":39,"stem":40,"number":41,"year":9,"session":42},"nurse-112-3-psychiatric-community-044","有關維持兒童與青少年健康體位的護理指導，下列何者最適當？",44,3,{"webId":44,"stem":45,"number":46,"year":47,"session":10},"nurse-113-2-psychiatric-community-038","有關職業健康危害因子，下列何者不屬於物理性危害？",38,113,{"webId":49,"stem":50,"number":51,"year":52,"session":42},"nurse-114-3-psychiatric-community-036","護理師培訓社區當地戒菸種子以強化校園周遭商店不得販賣菸品予未滿 18 歲青少年之宣導，此符合渥太華健康促進憲章何項行動綱領？",36,114,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-106-2-psychiatric-community-010","在團體治療的場合中，病人表示她都睡不好，另一位病人說：「我以前也睡不好，後來準時吃藥，按時去睡，我現在就睡很好了。」有關耶隆（Yalom）的療效因子之敘述，下列何者最正確？",10,106,{"webId":59,"stem":60,"number":41,"year":61,"session":10},"nurse-107-2-psychiatric-community-044","下列何項屬於社區中非正式資源？",107,"2026-09-04",1788510748902]