[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-114-3-psychiatric-community-037":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"lastmod":63},"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-114-3-精神科與社區衛生護理學-037","nurse-114-3-psychiatric-community-037",114,3,37,"有關細菌性食物中毒，下列敘述何者最適當？",{"A":14,"B":15,"C":16,"D":17},"金黃色葡萄球菌感染主要症狀為發燒、頭痛","肉毒桿菌毒素屬於神經毒素，死亡率高","大腸桿菌最常見的感染食物為海產魚貝類","沙門氏菌的潛伏期為 1～3 小時","B",null,[],"本題考點在於常見細菌性食物中毒的病原特性。肉毒桿菌(Clostridium botulinum)產生的肉毒桿菌毒素為作用於神經肌肉接合處、阻斷乙醯膽鹼釋放的神經毒素,可致弛緩性麻痺與呼吸衰竭,死亡率高,故 B 最適當。A 錯,金黃色葡萄球菌腸毒素中毒以噁心、嘔吐、腹瀉等腸胃症狀為主,發燒不明顯;C 錯,與海產魚貝類最相關的是腸炎弧菌(副溶血弧菌)而非大腸桿菌;D 錯,沙門氏菌潛伏期一般為數小時至數天(約 6 至 72 小時),而非固定 1 至 3 小時。","細菌性食物中毒分感染型(沙門氏菌、腸炎弧菌)與毒素型(金黃色葡萄球菌、肉毒桿菌)。肉毒桿菌毒素耐酸不耐熱,常見於保存不當的罐頭、真空包裝與自製醃漬食品,充分加熱可破壞毒素。臨床以對稱性下行性麻痺、複視、吞嚥困難為特徵,需抗毒素治療與呼吸支持,故一旦懷疑須儘速就醫。金黃色葡萄球菌毒素則耐熱,加熱無法去除。",[24,26,29,31],{"term":25,"count":10},"細菌性食物中毒",{"term":27,"count":28},"金黃色葡萄球菌腸毒素",2,{"term":30,"count":28},"腸炎弧菌",{"term":32,"count":33},"肉毒桿菌神經毒素",1,[35,39,44,49,54,59],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-114-3-psychiatric-community-038","自來水消毒過程，氯與水中有機物結合，會產生下列何種有害健康物質？",38,{"webId":40,"stem":41,"number":42,"year":43,"session":28},"nurse-115-2-psychiatric-community-034","陳小姐想要簽署預立醫療決定書（advance decision, AD），但是考量諮商費用以及時間成本而遲遲沒有採取行動。依據健康信念模式（Health Belief Model），其最主要受下列那一個因子影響？",34,115,{"webId":45,"stem":46,"number":47,"year":48,"session":33},"nurse-106-1-psychiatric-community-078","下列那些情況可能使高血壓病人血壓突然上升？①體表溫差過大 ②用力排便 ③夜間上廁所 ④抬腿運動",78,106,{"webId":50,"stem":51,"number":52,"year":53,"session":28},"nurse-107-2-psychiatric-community-036","陳小姐，28 歲，診斷為思覺失調症（昔稱精神分裂症），剛接受醫師轉介接受精神復健機構（住宿型）的照護服務，有關該項服務，下列何者正確？",36,107,{"webId":55,"stem":56,"number":57,"year":58,"session":33},"nurse-109-1-psychiatric-community-080","有關高纖維飲食的益處，下列何者錯誤？",80,109,{"webId":60,"stem":61,"number":42,"year":62,"session":28},"nurse-110-2-psychiatric-community-034","有關罹患注意力缺陷過動症（ADHD）學齡期兒童的治療計畫，下列敘述何者錯誤？",110,"2026-09-04",1788510763037]