[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-106-1-psychiatric-community-077":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":26},"nurse-106-1-精神科與社區衛生護理學-077","nurse-106-1-psychiatric-community-077",106,1,77,"造成代謝症候群最主要的因素為：",{"A":14,"B":15,"C":16,"D":17},"遺傳因素","環境因素","生活型態","經濟因素","C",null,[],"本題考點是代謝症候群的主要成因。代謝症候群是一組以中央型肥胖、血壓偏高、血糖異常、血脂異常為特徵的群聚現象,其發生雖與遺傳體質有關,但公共衛生上公認最主要且可介入的因素是不良生活型態——高熱量飲食、缺乏運動、久坐、過量飲酒等,導致胰島素阻抗與內臟脂肪堆積,故選 C。A「遺傳因素」是背景易感性,無法改變且非最主要驅動力。B「環境因素」概念太廣泛,未直接指向致病核心。D「經濟因素」僅為間接的社會決定因素,透過影響飲食與活動而作用,非最主要因素。三個錯項不是太遠端就是不可介入,唯生活型態既是主因也是防治切入點。","病理核心是「胰島素阻抗」:過多熱量與內臟脂肪促使組織對胰島素反應下降,連鎖引發高血糖、高血壓、血脂異常。因為生活型態可修正,故成為衛教與防治重點——這也是為何國考偏好答「生活型態」。記憶:代謝症候群=「生活病」,靠飲食控制、規律運動、減重可逆轉,是它與純遺傳性疾病的最大差別。",[24,27,30,32],{"term":25,"count":26},"代謝症候群",8,{"term":28,"count":29},"胰島素阻抗",4,{"term":16,"count":31},2,{"term":33,"count":10},"中央型肥胖",[35,39,44,48,53,58],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"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,{"webId":40,"stem":41,"number":42,"year":43,"session":10},"nurse-107-1-psychiatric-community-014","工作期是護理師與病人彼此已建立信任感，面對問題有共識，關於工作期的主要任務為下列何者？",14,107,{"webId":45,"stem":46,"number":47,"year":43,"session":31},"nurse-107-2-psychiatric-community-028","李太太常精神恍惚，注意力不集中，與她溝通之方式，下列何者最適當？",28,{"webId":49,"stem":50,"number":51,"year":52,"session":10},"nurse-109-1-psychiatric-community-066","張先生與張太太首次參加社區成人健康檢查，張先生檢測結果顯示有血糖過高，張太太子宮頸癌篩檢為陽性。衛生所王護理師至張家家庭訪視，追蹤兩人狀況。但抵達張家時，張太太因事外出，只有張先生在家。王護理師為張先生測量血糖，飯後兩小時血糖值為 210 mg\u002FdL，王護理師如何向張先生解釋此數值最為合宜？",66,109,{"webId":54,"stem":55,"number":56,"year":57,"session":31},"nurse-110-2-psychiatric-community-030","有關護理評估自閉症類群障礙症（autism spectrum disorder）的核心障礙，下列何者錯誤？",30,110,{"webId":59,"stem":60,"number":61,"year":62,"session":31},"nurse-111-2-psychiatric-community-064","王女士，45 歲，山地原住民女性，平時沒有抽菸、飲酒習慣，從沒參加社區健康篩檢活動，今天第一次參加篩檢。下列何者為其可使用的公費篩檢項目？①成人預防保健服務 ②子宮頸癌篩檢 ③大腸癌篩檢 ④B、C 型肝炎篩檢 ⑤乳癌篩檢 ⑥口腔癌篩檢",64,111,"2026-09-04",1788510695447]