[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-114-2-psychiatric-community-018":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":35,"lastmod":65},"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-114-2-精神科與社區衛生護理學-018","nurse-114-2-psychiatric-community-018",114,2,18,"有關物質使用障礙症所指的耐受性（tolerance），下列敘述何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"停止使用成癮物質後出現之身心不適","腦部已適應較高的物質濃度，需要更多的物質","需要增加使用量才能達到預期的效果","與使用多種物質的交互作用有關","A",null,[],"本題考點在於物質使用障礙症中「耐受性（tolerance）」與「戒斷（withdrawal）」的區分。耐受性指身體對物質適應後，需要「增加使用量」才能達到原有效果。本題為反向題，錯誤敘述為 A：「停止使用後出現身心不適」描述的是「戒斷症狀」而非耐受性，兩者概念不同，故 A 錯而為答案。B 正確，腦部適應較高物質濃度、需要更多物質，正是耐受性的機轉；C 正確，需增加用量才能達預期效果是耐受性的定義；D 正確，多重物質併用可產生交叉耐受性（cross-tolerance），與耐受性相關。辨識關鍵在「耐受＝要用更多；戒斷＝停用才不適」。","對比記憶：耐受性（tolerance）＝同劑量效果變弱、需加量；戒斷（withdrawal）＝停用或減量後出現特定物質的反向身心症狀（如酒精戒斷震顫譫妄、鴉片戒斷流淚腹瀉）。兩者皆屬生理依賴指標。交叉耐受性指對某類物質耐受後對同類物質也產生耐受，臨床用於替代治療。",[24,27,30,33],{"term":25,"count":26},"物質使用障礙症",6,{"term":28,"count":29},"戒斷症狀",5,{"term":31,"count":32},"耐受性",1,{"term":34,"count":32},"交叉耐受性",[36,40,45,50,55,60],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-114-2-psychiatric-community-019","有關老年憂鬱症的敘述，下列何者錯誤？",19,{"webId":41,"stem":42,"number":43,"year":44,"session":32},"nurse-115-1-psychiatric-community-015","恐慌症（panic disorder）的病人在至少一次恐慌發作後，最有可能會出現下列何種情況？",15,115,{"webId":46,"stem":47,"number":48,"year":49,"session":32},"nurse-106-1-psychiatric-community-009","王先生，因罹患思覺失調症（schizophrenia）而被家人帶來住院，護理師予進行精神護理評估，下列陳述何項正確？①問病人：有志者事竟成之含義為何？屬抽象能力評估 ②問病人：今天一天中發生的事情？屬近期記憶評估 ③問病人：男人與女人有何不同？屬判斷力評估 ④問病人：臺灣過年時大家都會作些什麼事？屬一般常識評估",9,106,{"webId":51,"stem":52,"number":53,"year":54,"session":32},"nurse-107-1-psychiatric-community-047","有關學校護理師在學生健康檢查實施方式的敘述，下列何者錯誤？",47,107,{"webId":56,"stem":57,"number":58,"year":59,"session":32},"nurse-109-1-psychiatric-community-011","在精神病房有關環境治療之敘述，下列何者最適切？",11,109,{"webId":61,"stem":62,"number":63,"year":64,"session":32},"nurse-110-1-psychiatric-community-045","有關結核病防治工作敘述，下列何者錯誤？",45,110,"2026-09-04",1788510760557]