[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-106-2-psychiatric-community-061":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"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-106-2-精神科與社區衛生護理學-061","nurse-106-2-psychiatric-community-061",106,2,61,"骨質疏鬆症的危險因子，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"高齡","身材和體格特別高大","飲酒過量","家庭成員有人罹患骨質疏鬆症","B",null,[],"本題考點在辨識骨質疏鬆症的危險因子。骨質疏鬆屬多因子疾病,凡會加速骨質流失或減少骨本累積者皆為危險因子。依流行病學證據,高齡使造骨活性下降、破骨相對增強(A為正確危險因子);酒精會抑制成骨細胞並干擾鈣質吸收(C為真危險因子);骨密度受遺傳影響大,有家族史者風險升高(D為真危險因子)。而身材高大、體格壯碩者骨骼截面積大、骨量儲備多,反屬保護因子;真正高風險的是身材瘦小、體重過輕者。故敘述錯誤者為身材特別高大,選B。","骨鬆危險因子可用不可控與可控分類記憶:不可控(高齡、女性停經、家族史、瘦小體型、白種\u002F亞洲人),可控(低鈣攝取、缺乏運動、抽菸、酗酒、長期類固醇、日照不足)。記憶口訣:瘦小停經老太太,菸酒咖啡不運動。體型與骨量呈正相關,BMI過低是明確危險因子,故本題把高大當成危險因子即為陷阱。臨床上停經後婦女與長期使用糖皮質類固醇者為篩檢重點族群,可延伸連結到FRAX骨折風險評估工具與DXA骨密度T值(≤-2.5為骨鬆)。",[24,27,29,31],{"term":25,"count":26},"骨質疏鬆症危險因子",1,{"term":28,"count":26},"骨密度與體型關係",{"term":30,"count":26},"酒精對成骨細胞影響",{"term":32,"count":26},"家族史與遺傳",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-106-2-psychiatric-community-062","生命統計中，常用到比例（ratio），下列何者不包含在內？",62,{"webId":39,"stem":40,"number":41,"year":42,"session":26},"nurse-107-1-psychiatric-community-078","下列何者適合列為個案管理的對象？①高醫療費用病人 ②自然產產婦 ③重複住院病人 ④子宮肌瘤手術病人 ⑤換肝手術病人",78,107,{"webId":44,"stem":45,"number":46,"year":47,"session":10},"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":49,"stem":50,"number":51,"year":52,"session":10},"nurse-109-2-psychiatric-community-050","下列何種方式可以蒐集社區居民對社區問題的了解及解決的動機，有助於排定執行的優先次序？",50,109,{"webId":54,"stem":55,"number":56,"year":57,"session":26},"nurse-111-1-psychiatric-community-014","對慢性思覺失調症且功能退化病人的照護，護理師指導家屬的照護病人的措施，下列何者正確？ ①直接幫病人做日常生活上的照顧，又快又好 ②宜採漸進式訓練 ③需要耐性予以接納與訓練 ④配合獎賞引發學習動機",14,111,{"webId":59,"stem":60,"number":61,"year":62,"session":26},"nurse-112-1-psychiatric-community-048","下列那一階段的疾病自然史，最能透過篩檢早期發現身體病理變化？",48,112,"2026-09-04",1788510700554]