[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-115-2-psychiatric-community-037":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":10},"nurse-115-2-精神科與社區衛生護理學-037","nurse-115-2-psychiatric-community-037",115,2,37,"有關常見室內空氣污染物及其對健康的影響之敘述，下列何者最不適當？",{"A":14,"B":15,"C":16,"D":17},"石綿可能會造成肺癌與矽肺病","黴菌可能會刺激呼吸道","甲醛可能會造成代謝性鹼中毒","密閉的瓦斯爐可能會造成一氧化碳中毒","C",null,[],"本題考點在於常見室內空氣污染物的標的器官與健康效應配對。甲醛屬水溶性刺激物,主要造成眼、鼻、咽喉與呼吸道黏膜刺激、氣喘惡化及過敏,並被列為人類致癌物與鼻咽癌相關,並不會造成代謝性鹼中毒,故 C 最不適當。A 石綿纖維經吸入沉積可導致石綿肺與肺癌、惡性間皮瘤,方向正確(嚴格而言矽肺病由二氧化矽粉塵所致,用詞稍欠精確)。B 正確,黴菌孢子與代謝物會刺激呼吸道並誘發過敏與氣喘。D 正確,密閉空間瓦斯燃燒不完全會生成一氧化碳,導致組織缺氧型中毒。","室內空氣污染題可用「來源—標的器官」對照表整理:甲醛與揮發性有機物來自新裝潢建材、家具與黏著劑,標的是黏膜與呼吸道;一氧化碳來自燃燒器具與熱水器裝設不當,機轉是與血紅素結合成碳氧血紅素、使氧解離曲線左移而阻礙組織釋氧,典型表現為頭痛、頭暈、意識改變;二氧化碳升高代表通風不足,是室內空氣品質的替代指標;生物性污染物包括黴菌、塵蟎與寵物皮屑,誘發過敏與病態建築症候群;石綿與粉塵屬長潛伏期塵肺症來源。至於代謝性鹼中毒,常見成因是嚴重嘔吐或胃液流失、使用利尿劑、鹼劑攝取過多,與吸入性刺激物無關,選項刻意跨系統錯置。我國有室內空氣品質管理法,訂有二氧化碳、甲醛、總揮發性有機物、細菌與真菌、PM10、PM2.5、臭氧與一氧化碳等標準值,可延伸複習。",[24,26,29,31,33],{"term":25,"count":10},"一氧化碳中毒",{"term":27,"count":28},"甲醛健康危害",1,{"term":30,"count":28},"室內空氣品質管理法",{"term":32,"count":28},"石綿與塵肺症",{"term":34,"count":28},"代謝性鹼中毒成因",[36,40,45,50,55,60],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-115-2-psychiatric-community-038","未充分殺菌的醃漬食品及真空包裝所導致的食物中毒，下列何者是最可能的病原體？",38,{"webId":41,"stem":42,"number":43,"year":44,"session":10},"nurse-106-2-psychiatric-community-004","護理師於會談中詢問病人：「為什麼到醫院來？」、「就你所知，醫師為什麼開這些藥物給你？」請問是為了獲得那方面的評估資料？",4,106,{"webId":46,"stem":47,"number":48,"year":49,"session":28},"nurse-107-1-psychiatric-community-018","謝太太因為情緒高昂，被先生帶來醫院求診。言談誇大、意念飛躍、好管閒事，今日護生與其會談中，謝太太強烈質疑護生的衛教內容，雙方出現好辯爭論。照護此病人的主護護理師，下列何種處理適宜？",18,107,{"webId":51,"stem":52,"number":53,"year":54,"session":10},"nurse-108-2-psychiatric-community-056","有關代謝症候群的防治策略，下列何者為初段預防？",56,108,{"webId":56,"stem":57,"number":58,"year":59,"session":28},"nurse-110-1-psychiatric-community-020","病人因反覆出現強迫性思考及持續洗手的行為，而入院治療，下列敘述何者較適當？",20,110,{"webId":61,"stem":62,"number":63,"year":64,"session":28},"nurse-111-1-psychiatric-community-054","根據世界衛生組織（WHO）對社區的定義，下列何者正確？",54,111,"2026-08-06",1787299017177]