[{"data":1,"prerenderedAt":62},["ShallowReactive",2],{"q-nurse-106-1-psychiatric-community-048":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"lastmod":61},"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":26},"nurse-106-1-精神科與社區衛生護理學-048","nurse-106-1-psychiatric-community-048",106,1,48,"對處於潛伏期的結核感染者進行痰塗片及痰液培養，下列反應何者正確？",{"A":14,"B":15,"C":16,"D":17},"痰塗片陽性，但痰液培養陰性","痰塗片陰性，但痰液培養陽性","痰塗片及痰液培養皆為陽性","痰塗片及痰液培養皆為陰性","D",null,[],"本題考點是潛伏結核感染(LTBI)的細菌學檢查表現。潛伏期感染者體內雖有結核桿菌但被免疫系統圍堵、處於休眠不活動狀態,不會排菌也無症狀,因此痰塗片(抗酸菌染色)與痰液培養皆為陰性,故選 D。A、B、C 之所以錯,在於塗片或培養呈陽性代表痰中有可偵測或可培養的活菌,屬「活動性肺結核」而非潛伏感染;尤其培養靈敏度高於塗片,一旦排菌培養才會陽性。潛伏感染的診斷須靠結核菌素測驗(TST)或丙型干擾素釋放試驗(IGRA)顯示免疫致敏,而非靠痰檢,故痰檢一律陰性。","區分關鍵:潛伏感染(LTBI)——無症狀、不排菌、無傳染力、胸部X光正常、TST\u002FIGRA 陽性;活動性結核——有症狀、可排菌、具傳染力、痰塗片或培養可陽性。塗片陽性代表菌量高(每毫升約需上萬隻菌)傳染力強;培養較敏感但需 2–8 週。記憶:『潛伏者痰乾淨、皮試才會紅』。LTBI 是否預防性投藥(如 INH)是防治重點。",[24,27,29,31],{"term":25,"count":26},"潛伏結核感染",2,{"term":28,"count":26},"活動性肺結核",{"term":30,"count":10},"痰塗片與痰培養",{"term":32,"count":10},"結核菌素測驗",[34,38,42,47,52,56],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-106-1-psychiatric-community-049","致病模式中之網狀模式較適合用來解釋何種疾病的特性？",49,{"webId":39,"stem":40,"number":41,"year":9,"session":26},"nurse-106-2-psychiatric-community-065","有關 Anderson 和 McFarlane（2008）以社區為夥伴的健康評估模式，下列何者正確？",65,{"webId":43,"stem":44,"number":45,"year":46,"session":10},"nurse-107-1-psychiatric-community-079","王先生社區整合性篩檢的檢查結果，那些符合代謝症候群判定標準？①身高 150 公分、體重 72 公斤 ②血壓為 128\u002F80 mmHg ③腰圍 90 公分 ④空腹血糖（FG）130 mg\u002FdL ⑤高密度脂蛋白膽固醇（HDL-C）43 mg\u002FdL",79,107,{"webId":48,"stem":49,"number":50,"year":51,"session":10},"nurse-109-1-psychiatric-community-037","戴先生自精神科病房出院後，原計畫由醫師轉介居家治療，但病人不願接受居家治療。此情境下，戴先生最適合下列那種精神醫療服務？",37,109,{"webId":53,"stem":54,"number":10,"year":55,"session":26},"nurse-110-2-psychiatric-community-001","依據現行精神衛生法規定，嚴重病人不遵從醫囑導致病情不穩或生活功能有退化之虞，經強制社區治療審查會決定許可強制社區治療，此次嚴重病人在接受強制社區治療期間，不能超過多久？",110,{"webId":57,"stem":58,"number":59,"year":60,"session":26},"nurse-111-2-psychiatric-community-035","根據 DSM-5 診斷準則，智能不足嚴重度的分類，下列何者最不適當？",35,111,"2026-09-04",1788510695087]