[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-114-1-psychiatric-community-017":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"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-114-1-精神科與社區衛生護理學-017","nurse-114-1-psychiatric-community-017",114,1,17,"有關使用嗎啡之敘述，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"嗎啡能有效止痛且提神","嗎啡使用後會產生欣快感","嗎啡只能口服使用","護理師可自行斟酌使用","B",null,[],"本題考點在於嗎啡（morphine）的藥理作用與使用原則。依鴉片類藥理，嗎啡作用於中樞鴉片受體，除強效止痛外會產生欣快感（euphoria），此亦為其成癮性來源之一，故選 B。A 錯誤，嗎啡具鎮靜與呼吸抑制作用，會使人嗜睡而非提神。C 錯誤，嗎啡可經口服、靜脈注射、皮下、硬脊膜外等多種途徑給予，並非只能口服。D 錯誤，嗎啡為管制藥品，須依醫囑給藥並嚴格核對與記錄，護理師不得自行斟酌使用。四者中唯 B 正確描述其欣快作用，故正解為 B。","嗎啡副作用記憶：呼吸抑制（最危險）、便秘、噁心、瞳孔縮小（pinpoint pupils）、尿滯留、欣快與成癮。過量以 naloxone 拮抗。管制藥品給藥須雙人核對、專冊登記，體現用藥安全與法規要求。",[24,27,29,31],{"term":25,"count":26},"呼吸抑制",4,{"term":28,"count":10},"鴉片類藥物",{"term":30,"count":10},"嗎啡欣快感",{"term":32,"count":10},"管制藥品給藥",[34,38,43,49,54,59],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-114-1-psychiatric-community-018","根據DSM-5診斷準則，有關智能不足適應功能的評估，下列何者最不適切？",18,{"webId":39,"stem":40,"number":41,"year":9,"session":42},"nurse-114-3-psychiatric-community-014","有關憂鬱症，下列敘述何者適當？①甲狀腺功能過高 ②症狀持續至少六個月 ③腦中血清素不足 ④女性發生率大於男性",14,3,{"webId":44,"stem":45,"number":46,"year":47,"session":48},"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",8,115,2,{"webId":50,"stem":51,"number":52,"year":53,"session":48},"nurse-106-2-psychiatric-community-076","社區衛生護理師為弱勢個案族群爭取所需服務，促成相關政策之立法，是屬於何項角色的發揮？",76,106,{"webId":55,"stem":56,"number":57,"year":58,"session":48},"nurse-108-2-psychiatric-community-040","住院病人辜太太，長期於反覆的家暴中受盡折磨，辜太太表示夫妻爭吵是難免，不斷要求出院回家，請問在護理師首次接案時，下列輔導技巧何者較適切？①耐心面對辜太太的防禦心，傾聽訴說 ②應明顯立即面質辜太太的防禦心 ③護理師將焦點放在支持與增加資源的聯結 ④覺察辜太太之矛盾與壓力",40,108,{"webId":60,"stem":61,"number":62,"year":63,"session":48},"nurse-109-2-psychiatric-community-074","有關長期照顧管理中心照顧管理專員之職責，下列何者錯誤？",74,109,"2026-09-04",1788510758236]