[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-115-1-psychiatric-community-043":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-115-1-精神科與社區衛生護理學-043","nurse-115-1-psychiatric-community-043",115,1,43,"有關葡萄糖-6-磷酸鹽去氫酶（G-6-PD）的護理指導，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"為X染色體性聯遺傳疾病","避免使用萘丸","避免食用蠶豆及其製品","感染時以磺胺類藥物治療為首選","D",null,[],"本題考點是 G-6-PD 缺乏症應避免的氧化性誘發因子。G-6-PD 是紅血球五碳糖磷酸途徑製造 NADPH 的關鍵酵素，NADPH 用來維持還原型麩胱甘肽以中和氧化壓力；酵素活性不足時，氧化性物質會使血紅素變性沉積、紅血球膜受損而發生急性溶血。磺胺類藥物本身即是典型的氧化性藥物，屬明確應避開的藥物類別，把它當成感染時的首選治療與此原則相反，故 D 為錯誤敘述。A 正確，此症為 X 染色體性聯遺傳，男性帶單一 X 故表現遠多於女性。B 正確，萘丸（樟腦丸）所含的萘具強氧化性。C 正確，蠶豆含 vicine、convicine 等氧化性成分，是經典的溶血誘因。","病生理串成一條線記：G-6-PD ↓ → NADPH ↓ → 還原型麩胱甘肽 ↓ → 紅血球抗氧化能力崩解 → 血紅素變性形成 Heinz bodies、周邊血出現咬痕細胞（bite cells）→ 血管內外溶血，臨床見茶色尿、黃疸、蒼白、脾臟輕度腫大，新生兒則以黃疸偏高、退得慢為表現，G-6-PD 缺乏症也列在我國公費新生兒篩檢的項目之中（篩檢項目歷經多次擴增，記結論即可，不必硬背數目）。應避開的誘發因子可分三類：藥物（磺胺類、nitrofurantoin、dapsone、部分解熱鎮痛藥、龍膽紫，以及抗瘧藥 primaquine——它屬 8-胺基喹啉類，與奎寧 quinine 並非同一類藥，別混為一談）、食物與化學品（蠶豆及其製品、萘丸）、以及感染本身引起的氧化壓力。護理指導的核心是辨識並避開誘因，而非事後補救。",[24,26,28,30],{"term":25,"count":10},"G-6-PD 缺乏症",{"term":27,"count":10},"NADPH 與還原型麩胱甘肽",{"term":29,"count":10},"氧化性藥物誘發溶血",{"term":31,"count":10},"X 染色體性聯遺傳",[33,37,42,47,52,57],{"webId":34,"stem":35,"number":36,"year":9,"session":10},"nurse-115-1-psychiatric-community-044","護理師對於懷孕的女性勞工在母性健康保護的相關措施，下列何者最不適當？",44,{"webId":38,"stem":39,"number":40,"year":41,"session":10},"nurse-106-1-psychiatric-community-040","章先生，因為非自願住院而要求出院，不斷的搖動大門門把、持續用力踹大門並喊：「讓我出去，不然要你們好看」，護理師經評估，認為須採取隔離措施。關於隔離措施，下列描述何項正確？",40,106,{"webId":43,"stem":44,"number":45,"year":41,"session":46},"nurse-106-2-psychiatric-community-054","家庭護理過程步驟的順序，下列何者正確？①動員資源解決問題 ②家庭及個人健康資料收集 ③確認家庭及個人健康問題 ④與家庭共同設立照護目標 ⑤評估執行成效 ⑥決定優先順序",54,2,{"webId":48,"stem":49,"number":50,"year":51,"session":46},"nurse-108-2-psychiatric-community-012","林小姐，因患嚴重的強迫症而住院治療，楊護理師經多日的觀察與評估後，擬訂林小姐的護理計畫，並安排每週二次的認知治療，有關認知治療之敘述，下列何項較適切？①認知的再建構 ②安排作業練習 ③僅強調過去經驗 ④建立替代想法",12,108,{"webId":53,"stem":54,"number":55,"year":56,"session":46},"nurse-109-2-psychiatric-community-056","有關講述法之敘述，下列何者正確？",56,109,{"webId":58,"stem":59,"number":60,"year":61,"session":10},"nurse-111-1-psychiatric-community-010","下列有關精神疾病臨床症狀的敘述，何者正確？",10,111,"2026-08-06",1787299090169]