[{"data":1,"prerenderedAt":46},["ShallowReactive",2],{"q-nurse-106-1-psychiatric-community-026":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":22},"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,"freq":10},"nurse-106-1-精神科與社區衛生護理學-026","nurse-106-1-psychiatric-community-026",106,1,26,"下列敘述何者正確？",{"A":14,"B":15,"C":16,"D":17},"許小姐有使用嗎啡過量或過久，持續想要戒除或調控均無效，仍對物質有渴求的控制失調","許小姐的腦部及身體已適應較高濃度的耐受性，因此只要些微劑量就可達到原來的效果","許小姐同時使用物質，當其使用嗎啡出現耐受性後，使用安非他命反而不需較大量就可滿足","許小姐因為嗎啡成癮，產生心理依賴，一旦停止會導致心理不適，即戒斷症狀","A",null,[],"本題考點在物質使用障礙症的診斷概念辨識。選項A描述許小姐使用嗎啡過量或過久、雖持續想戒除或調控卻均無效、仍對物質有渴求且控制失調,正好對應物質使用障礙症的核心準則(失去控制、渴求、戒除失敗),故選A。B「腦部已適應高濃度,只要些微劑量就達原效果」方向寫反:耐受性(tolerance)是需「更大」劑量才達原效果。C稱對嗎啡耐受後安非他命「不需較大量就滿足」,牴觸交叉耐受概念且邏輯錯誤。D把「心理依賴、停止即戒斷」混為一談:戒斷症狀屬生理依賴的表現,與純心理依賴的定義不符,故三者概念皆有誤。",[23,26,30,34,38,42],{"webId":24,"stem":25,"number":10,"year":9,"session":10},"nurse-106-1-psychiatric-community-001","精神衛生法中規定經專科醫師診斷或鑑定屬嚴重病人者，應置保護人 1 人，專科醫師並應開具診斷證明書交付保護人。保護人應考量嚴重病人利益。條文中的保護人可為下列何人？①監護人 ②同居人 ③配偶 ④父母 ⑤家屬 ⑥心理輔導專家 ⑦法定代理人",{"webId":27,"stem":28,"number":29,"year":9,"session":10},"nurse-106-1-psychiatric-community-002","護理師在精神科病房帶領團體治療，病友在團體中感謝其他病人對他的接納與信任，分享他從團體中體驗到人與人之間是可以相互信賴，此活動運用下列何項精神護理概念模式？",2,{"webId":31,"stem":32,"number":33,"year":9,"session":10},"nurse-106-1-psychiatric-community-003","一位從小被父親性侵至大學的 20 歲女大學生，因出現自傷行為而住院。主護護理師與之會談，談及家庭時，認為爸爸是愛她的，承認父親性侵她卻完全記不起來任何一次性侵的過程。但有時突然大哭時卻能詳細說出父親性侵她的過程。此種心理防衛機轉最有可能是下列何項？",3,{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-106-1-psychiatric-community-004","下列有關精神障礙病人的權利，何者正確？",4,{"webId":39,"stem":40,"number":41,"year":9,"session":10},"nurse-106-1-psychiatric-community-005","謝先生因思覺失調症（schizophrenia）住院，在許護理師上班時經常對她出現吵鬧、依賴或討好等行為，許護理師了解這是謝先生對自己的情感轉移，進而提供適當的護理措施，下列何者最不適宜？",5,{"webId":43,"stem":44,"number":45,"year":9,"session":10},"nurse-106-1-psychiatric-community-006","臨床上發現病人有問題行為而需進行行為治療時，護理師在評估病人的問題行為時，應主要觀察的內容，下列何項正確？①在何種情況下（行為前情境）②病人出現何種行為 ③家人的感受 ④行為之後產生什麼結果",6,1783840734935]