[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-113-2-psychiatric-community-014":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-113-2-精神科與社區衛生護理學-014","nurse-113-2-psychiatric-community-014",113,2,14,"下列何者最可能為海洛因急性中毒的症狀？",{"A":14,"B":15,"C":16,"D":17},"講話滔滔不絕","呼吸抑制、昏迷","注意力集中","活動量變大","B",null,[],"本題考點在於海洛因(heroin,鴉片類)急性中毒的臨床表現。鴉片類為中樞神經抑制劑,急性中毒(過量)典型三聯徵為呼吸抑制、昏迷與針狀瞳孔(pinpoint pupils)。B 正確:呼吸抑制、昏迷正是鴉片過量的致命表現,故為最可能症狀、即答案。A「講話滔滔不絕」、C「注意力集中」、D「活動量變大」皆屬中樞神經「興奮」的表現,符合安非他命、古柯鹼等興奮劑中毒,而與鴉片類的抑制效果相反,故皆錯。考點在於區辨中樞抑制劑(鴉片)與興奮劑中毒的相反表現,鴉片過量以呼吸抑制與意識下降為核心。","鴉片過量三聯徵:意識抑制、呼吸抑制、針狀瞳孔;解毒劑為 naloxone(鴉片受體拮抗劑)。相對地,興奮劑(安非他命、古柯鹼)中毒表現為多話、過動、瞳孔放大、血壓心跳上升。鑑別關鍵是「抑制 vs 興奮」。海洛因致死主因即中樞性呼吸抑制。記憶:鴉片=抑制到不會呼吸、瞳孔縮成一點。",[24,27,29,32],{"term":25,"count":26},"呼吸抑制",4,{"term":28,"count":10},"針狀瞳孔",{"term":30,"count":31},"鴉片類急性中毒",1,{"term":33,"count":31},"naloxone 解毒劑",[35,39,44,49,54,59],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-113-2-psychiatric-community-015","有關心理防衛機轉，下列敘述何者正確？",15,{"webId":40,"stem":41,"number":42,"year":43,"session":31},"nurse-114-1-psychiatric-community-011","​宋 小姐因情緒低落且有自殺行為，入院治療已兩週，常一個人臥床獨處，少與其他病友互動。下列何項護理措施最適宜？",11,114,{"webId":45,"stem":46,"number":47,"year":43,"session":48},"nurse-114-3-psychiatric-community-005","有關特定場所畏懼症，下列敘述何者最不適當？",5,3,{"webId":50,"stem":51,"number":52,"year":53,"session":31},"nurse-106-1-psychiatric-community-053","社區評估時收集人口組成，並繪製成人口結構圖，可以提供何種訊息？",53,106,{"webId":55,"stem":56,"number":57,"year":58,"session":10},"nurse-107-2-psychiatric-community-017","劉小姐，28 歲，因情緒高昂、整日不停的忙碌、意念飛躍、自認具有超能力要別人一切聽她指揮，導致家人與同事的困擾，而三度入院治療，診斷為雙相情緒障礙症（bipolar disorder），劉小姐最可能的護理問題為何？①社交互動障礙 ②自殺企圖 ③睡眠型態紊亂 ④思考過程改變",17,107,{"webId":60,"stem":61,"number":62,"year":63,"session":31},"nurse-109-1-psychiatric-community-051","有關依賴人口指數（dependent index）的敘述，下列何者錯誤？",51,109,"2026-09-04",1788510755879]