[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-112-3-psychiatric-community-038":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-038","nurse-112-3-psychiatric-community-038",112,3,38,"某學校學生在校吃完中餐，多人在 2～4 小時後發生噁心、嘔吐、腹瀉等症狀，經送醫後醫療院所推論為食物中毒。下列敘述何者最不適當？",{"A":14,"B":15,"C":16,"D":17},"醫療院所應在 24 小時內通知衛生單位","學校應留存剩餘食品、患者嘔吐物或排泄物","推論應為沙門氏菌中毒","感染源可能來自食品受到帶菌之傷口分泌物污染","C",null,[],"本題考點在於食物中毒的病原推論與通報處理。依食因性疾病特徵,潛伏期短(2～4 小時)、以噁心、嘔吐為主要表現,且線索指向「食品受帶菌傷口分泌物污染」,最符合金黃色葡萄球菌腸毒素中毒。本題為反向題,最不適當者為 C「推論應為沙門氏菌中毒」,因沙門氏菌潛伏期較長(常 6～72 小時)、以發燒與腹瀉為主,與本題短潛伏期及帶菌傷口污染的線索不符。A 正確,醫療院所應於 24 小時內通報衛生單位。B 正確,應留存剩餘食品、嘔吐物與排泄物以供檢驗。D 正確,金黃色葡萄球菌常經帶菌者傷口或化膿分泌物污染食物。考點在於以潛伏期與污染源推斷致病菌。","常見食物中毒潛伏期對照:金黃色葡萄球菌(毒素型)1～6 小時,嘔吐為主、由帶菌者化膿傷口污染;腸炎弧菌 8～24 小時,常見於生鮮海產;沙門氏菌 6～72 小時,發燒腹瀉、來自蛋禽;肉毒桿菌 12～36 小時,神經性症狀。記憶要點:短潛伏(數小時)+嘔吐+化膿傷口污染=金黃色葡萄球菌腸毒素;毒素耐熱,加熱亦難完全去除。",[24,27,30,32],{"term":25,"count":26},"金黃色葡萄球菌腸毒素",2,{"term":28,"count":29},"食物中毒",1,{"term":31,"count":29},"潛伏期判讀",{"term":33,"count":29},"食因性疾病通報",[35,39,44,49,54,59],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-112-3-psychiatric-community-039","有關焚化法之敘述，下列何者最適當？",39,{"webId":40,"stem":41,"number":42,"year":43,"session":26},"nurse-113-2-psychiatric-community-035","有關生命統計之敘述，下列何者錯誤？",35,113,{"webId":45,"stem":46,"number":47,"year":48,"session":29},"nurse-114-1-psychiatric-community-029","提供工廠作業員安全防護器具以減少傷害發生，是屬於三段五級預防工作的那一級？",29,114,{"webId":50,"stem":51,"number":52,"year":53,"session":26},"nurse-115-2-psychiatric-community-027","有關衛生福利部的各機關（構）、單位業務職掌之敘述，下列何者正確？",27,115,{"webId":55,"stem":56,"number":57,"year":58,"session":29},"nurse-107-1-psychiatric-community-021","簡先生，24 歲，診斷為思覺失調症，個子矮小，沒自信，說話極小聲，從小求學成績不佳，人際關係不好，後來被分派到資源班就讀，常受同學欺負，護理師今天發現個案都躲在房間不願意到大廳活動，與之會談表示某病友昨天傍晚打他，搶他的食物吃，有走到護理站，但不知怎麼跟護理師說。護理師的回應，下列那一項最適切？",21,107,{"webId":60,"stem":61,"number":62,"year":63,"session":26},"nurse-108-2-psychiatric-community-055","目前臺灣全民健保居家護理訪視費用的給付項目，下列何者錯誤？",55,108,"2026-09-04",1788510746039]