[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-112-3-psychiatric-community-019":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"lastmod":64},"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-112-3-精神科與社區衛生護理學-019","nurse-112-3-psychiatric-community-019",112,3,19,"有關酒癮病人之敘述，下列何者正確？①停止喝酒後，戒斷症狀會在很短的時間內發生，且持續 5～7 天 ②酒精戒斷譫妄以聽幻覺為主 ③戒斷症狀包括：焦慮、厭食、失眠、顫抖等 ④常有營養不良和維他命 B 群缺乏的情形",{"A":14,"B":15,"C":16,"D":17},"①②③","①③④","①②④","②③④","B",null,[],"本題考點在於酒精戒斷症狀與酒癮者的營養問題。依酒精戒斷病生理,正確組合為 B(①③④):①停酒後戒斷症狀多於數小時內開始,約持續數日(5～7 天);③戒斷症狀包括焦慮、厭食、失眠、顫抖(震顫)等交感亢奮表現;④酒癮者常因熱量以酒精取代正常飲食而營養不良、維他命 B 群(尤其 B1 硫胺素)缺乏。②錯誤,酒精戒斷譫妄(震顫性譫妄)以「視幻覺」為主(如看到蟲、小動物),而非聽幻覺,故含②的選項均不選。考點在於辨識戒斷症狀特徵與典型幻覺型態。","震顫性譫妄(delirium tremens, DTs)是酒精戒斷最嚴重階段,多在停酒 48～72 小時出現,特徵為意識混亂、自律神經高度亢奮、生動的視幻覺(經典為看到小蟲小動物),死亡率不容忽視。維他命 B1 缺乏會導致 Wernicke 腦病變,故酒精戒斷須補充 B1。對比:酒精戒斷幻覺以視幻覺為主,思覺失調則以聽幻覺為主。",[24,27,29,32],{"term":25,"count":26},"視幻覺",5,{"term":28,"count":10},"震顫性譫妄",{"term":30,"count":31},"酒精戒斷症狀",1,{"term":33,"count":31},"維他命 B 群缺乏",[35,39,45,50,55,59],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-112-3-psychiatric-community-020","出現柯沙寇夫症候群（Korsakoff’s syndrome）的酒精成癮者，其典型症狀為何？",20,{"webId":40,"stem":41,"number":42,"year":43,"session":44},"nurse-113-2-psychiatric-community-016","蕭小姐，46 歲，育有二子，因先生外遇，最近離婚後獨居，整日鬱鬱寡歡沉默不語，近日突出現語言障礙，發聲困難及奇異步態，影響日常作息，住院後神經學檢查無異常，下列護理措施何者最適切？",16,113,2,{"webId":46,"stem":47,"number":48,"year":49,"session":31},"nurse-114-1-psychiatric-community-010","根據DSM-5診斷準則，有關情感思覺失調症（schizoaffective disorder）的敘述，下列何者正確？",10,114,{"webId":51,"stem":52,"number":53,"year":54,"session":44},"nurse-115-2-psychiatric-community-008","王小姐，診斷思覺失調症，主要症狀為被害妄想、多疑，難以與他人建立信任關係，下列那些符合環境治療的原則？①採取主動友善的態度，密集與其互動 ②注意環境並定時安檢，維護其他病人的安全 ③僅在必要時給予簡要的問候，不過度主動關心 ④暫時停止其所有的團體活動，以降低其妄想與多疑",8,115,{"webId":56,"stem":57,"number":44,"year":58,"session":31},"nurse-107-1-psychiatric-community-002","精神科護理師執行病人行為治療的過程中，有關行為治療在臨床運用之陳述，下列何項正確？ ①建立個案的增強物 ②評估個案的改變意願 ③收集個案的問題行為 ④醫療團隊人員分別規劃執行",107,{"webId":60,"stem":61,"number":62,"year":63,"session":44},"nurse-108-2-psychiatric-community-036","有關多元與安全醫療照護環境的敘述，下列何者正確？",36,108,"2026-09-04",1788510745865]