[{"data":1,"prerenderedAt":67},["ShallowReactive",2],{"q-nurse-113-3-psychiatric-community-017":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":36,"lastmod":66},"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-113-3-精神科與社區衛生護理學-017","nurse-113-3-psychiatric-community-017",113,3,17,"林同學高中生，近半年常在週末深夜 3～4 點回家，功課一落千丈，精神顯得恍惚、視覺模糊、協調性變差、心跳過速、血壓升高，近來常常夜尿頻繁而求診泌尿科，診斷為物質濫用導致的間質性膀胱炎。林同學最有可能使用下列那種毒品？",{"A":14,"B":15,"C":16,"D":17},"安非他命","Ｋ他命","大麻","flunitrazepam（俗名 FM2）","B",null,[],"本題考點在於各類濫用物質的臨床表徵鑑別。依題幹線索：夜尿頻繁、間質性膀胱炎，是 K 他命（ketamine）最具特異性的泌尿道併發症，長期使用會造成膀胱纖維化與容量縮小；再加上恍惚、視覺模糊、協調變差等解離性麻醉作用，最符合 B。A 安非他命屬中樞興奮劑，以亢奮、妄想為主，較少造成間質性膀胱炎；C 大麻以欣快、時間感扭曲為主；D flunitrazepam（FM2）為鎮靜安眠藥，表現為嗜睡與失憶，均不符泌尿道破壞，故選 B。","K 他命為 NMDA 受體拮抗劑，產生解離性麻醉。其代謝物對膀胱上皮具毒性，導致「K 他命膀胱炎」，出現尿急、頻尿、血尿與膀胱容量下降，是國考辨識 K 他命的招牌題眼。記憶口訣：見「頻尿／膀胱炎＋解離恍惚」直接連結 ketamine。",[24,27,29,32,34],{"term":25,"count":26},"K他命",2,{"term":28,"count":26},"間質性膀胱炎",{"term":30,"count":31},"解離性麻醉",1,{"term":33,"count":31},"NMDA受體拮抗",{"term":35,"count":31},"物質濫用鑑別",[37,41,46,51,56,61],{"webId":38,"stem":39,"number":40,"year":9,"session":10},"nurse-113-3-psychiatric-community-018","有關自閉症類群障礙症（autism spectrum disorder）的描述，下列何者正確？",18,{"webId":42,"stem":43,"number":44,"year":45,"session":26},"nurse-114-2-psychiatric-community-014","思覺失調症病人陳述：「護理師，我聽到我媽媽在廁所說話，聲音吵死了」。下列護理師的回應何者最適當？",14,114,{"webId":47,"stem":48,"number":49,"year":50,"session":31},"nurse-115-1-psychiatric-community-008","有關家庭結構評估，下列何者屬於內在結構？",8,115,{"webId":52,"stem":53,"number":54,"year":55,"session":26},"nurse-106-2-psychiatric-community-026","下列何種藥物濫用會因長期嗅吸造成鼻中膈穿孔、肺受損及靜脈注射感染疾病？",26,106,{"webId":57,"stem":58,"number":59,"year":60,"session":26},"nurse-107-2-psychiatric-community-070","利用 APGAR 家庭功能評估表，詢問個案是否滿意於家人和其討論事情及分擔問題的方式，主要是了解何項家庭功能？",70,107,{"webId":62,"stem":63,"number":64,"year":65,"session":26},"nurse-109-2-psychiatric-community-024","承上題，楊女士有活動過多情形，安排下列何項活動較適合？①寫書法 ②繪畫 ③下棋 ④剪紙",24,109,"2026-09-04",1788510753565]