[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-106-2-psychiatric-community-031":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":26},"nurse-106-2-精神科與社區衛生護理學-031","nurse-106-2-psychiatric-community-031",106,2,31,"社區心理衛生的第二級預防工作，應如何推行？",{"A":14,"B":15,"C":16,"D":17},"提供社區精神病人門診、住院與急診的服務","進行衛生教育，心理健康促進活動","提供慢性病人職業訓練與就業轉銜服務","協助病人享有身心障礙者應有的權益福利","A",null,[],"本題考點為社區心理衛生三段五級預防中「第二級預防」的定義。依三段五級架構,第二級(次級)預防目標是早期發現、早期治療,以及縮短病程、防止惡化,對應到精神醫療的門診、住院與急診服務,因為這些是針對已發病個案的即時處置與治療,故選 A。B「衛生教育與心理健康促進」屬第一級(初級)預防,目的在降低發生率,尚無疾病;C「職業訓練與就業轉銜」與 D「協助身心障礙福利權益」皆屬第三級(三級)預防,重點在復健與減少殘障、恢復社會功能,而非早期治療。判斷關鍵在於分辨「促進(初)—治療(次)—復健(三)」三者的介入時機。","三段五級記憶法:第一段=初段預防(第一級健康促進、第二級特殊保護);第二段=次段預防(第三級早期診斷治療、第四級限制殘障);第三段=末段預防(第五級復健)。三段(初\u002F次\u002F末)常被口語簡化為三級預防(初級=促進、次級=早期治療、三級=復健)。精神衛生領域對照:初級如壓力管理、心理衛生教育、高危險群篩檢前的社區宣導;次級如自殺防治熱線、門急診與住院治療;三級如社區復健中心、庇護性就業、康復之家。掌握「疾病自然史時間軸」即可快速對號入座。",[24,27,30,33],{"term":25,"count":26},"三段五級預防",27,{"term":28,"count":29},"次級預防",8,{"term":31,"count":32},"社區心理衛生",5,{"term":34,"count":10},"早期發現早期治療",[36,40,46,50,55,60],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-106-2-psychiatric-community-032","依據民國 102 年修正之精神衛生法，個案接受強制社區治療時，初始階段以幾日為限？",32,{"webId":41,"stem":42,"number":43,"year":44,"session":45},"nurse-107-1-psychiatric-community-048","目前提供健保居家護理服務的機構型態，下列何種類型最多？",48,107,1,{"webId":47,"stem":48,"number":49,"year":44,"session":10},"nurse-107-2-psychiatric-community-062","王先生說：「我知道我可以做到每天健走 30 分鐘，而且一週後將可達到減輕 0.5 公斤的目標」，根據 Pender 健康促進模式，以上敘述是屬於何種要素？",62,{"webId":51,"stem":52,"number":53,"year":54,"session":10},"nurse-109-2-psychiatric-community-020","許太太入院第 1 天時，懷疑飯菜被下毒，拒絕進食，護理師已告知個案飯菜未被下毒，但個案仍不願進食，請問下列護理措施何項最適合？",20,109,{"webId":56,"stem":57,"number":58,"year":59,"session":10},"nurse-110-2-psychiatric-community-064","依據 Duvall 的家庭發展階段理論，進行家庭評估主要目的為何？",64,110,{"webId":61,"stem":62,"number":63,"year":64,"session":45},"nurse-112-1-psychiatric-community-018","有關思覺失調症病人之負性精神症狀，下列何者最適切？",18,112,"2026-09-04",1788510700202]