[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-114-2-psychiatric-community-037":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":32,"lastmod":62},"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":10},"nurse-114-2-精神科與社區衛生護理學-037","nurse-114-2-psychiatric-community-037",114,2,37,"下列何種細菌產生的毒素在高溫烹煮過後最不容易被破壞？",{"A":14,"B":15,"C":16,"D":17},"腸炎弧菌","金黃色葡萄球菌","沙門氏桿菌","肉毒桿菌","B",null,[],"本題考點在於細菌毒素的耐熱特性。金黃色葡萄球菌產生的腸毒素(enterotoxin)耐熱性高,一般高溫烹煮難以完全破壞,故選B。相對地,肉毒桿菌毒素不耐熱,煮沸數分鐘即可去活性;腸炎弧菌與沙門氏桿菌主要靠活菌致病,加熱即可殺滅、致病力隨之下降。考點在於區辨「毒素型」與「感染型」食物中毒,並掌握金黃色葡萄球菌腸毒素耐熱的特性。","金黃色葡萄球菌腸毒素屬耐熱腸毒素,即使加熱至100°C數十分鐘仍可能保留活性,故受污染食物即使重新加熱仍可能致病,潛伏期短(1至6小時)、以噁心嘔吐為主。肉毒桿菌毒素則不耐熱,加熱可去毒,但其孢子耐熱,故重點在防止孢子萌發產毒。記憶對比:「金黃葡萄球菌毒素煮不壞、肉毒毒素煮得壞」,是食品衛生題常考的關鍵差異。",[24,25,27,30],{"term":15,"count":10},{"term":26,"count":10},"肉毒桿菌毒素",{"term":28,"count":29},"腸毒素耐熱",1,{"term":31,"count":29},"食物中毒分型",[33,37,42,47,52,57],{"webId":34,"stem":35,"number":36,"year":9,"session":10},"nurse-114-2-psychiatric-community-038","根據室內空氣品質標準，室內空氣 8 小時二氧化碳濃度的標準值，下列何者正確？",38,{"webId":38,"stem":39,"number":40,"year":41,"session":29},"nurse-115-1-psychiatric-community-034","依據三段五級概念，下列那一項屬於第一級的預防措施？",34,115,{"webId":43,"stem":44,"number":45,"year":46,"session":29},"nurse-106-1-psychiatric-community-028","許小姐所使用物質的嗎啡中毒主要症狀，下列說明何者最適切？",28,106,{"webId":48,"stem":49,"number":50,"year":51,"session":29},"nurse-107-1-psychiatric-community-066","造成細菌性食物中毒之病菌，具有革蘭氏陽性、附著於土壤及動物腸道、及對熱敏感 100℃持續加熱 3～5 分鐘以上無法生存，為下列何者？",66,107,{"webId":53,"stem":54,"number":55,"year":56,"session":29},"nurse-109-1-psychiatric-community-030","王先生是一位酒癮個案，在照護有關酒精使用障礙症的護理目標中，下列敘述何者正確？",30,109,{"webId":58,"stem":59,"number":60,"year":61,"session":29},"nurse-110-1-psychiatric-community-064","關於家庭訪視期間訂定護理契約的敘述，下列何者正確？①訂定契約之目的主要是使家庭正式參與護理過程 ②達成協議後，社區護理師須有效率地為個案和案家訂定目標和分派任務 ③護理契約是持續進行可隨案家情況重新談判的工作協議 ④為能減少家庭健康風險，須與家庭中能負責和適當的成員簽訂契約",64,110,"2026-09-04",1788510760727]