[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-106-2-psychiatric-community-075":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-075","nurse-106-2-psychiatric-community-075",106,2,75,"慢性病危險群個案管理需要完整的計畫與防治步驟，其中最優先且重要的是：",{"A":14,"B":15,"C":16,"D":17},"追蹤個案的檢查與治療","提升個案對疾病的認知","運用篩檢與檢查發現個案","早期治療以保持個案正常功能","C",null,[],"本題考點在慢性病危險群個案管理的步驟優先性。慢性病防治遵循先發現、後處理的邏輯:唯有先透過篩檢與檢查找出潛在或早期個案,後續的認知提升、追蹤治療與功能維持才有對象可施行,故最優先且重要者為運用篩檢與檢查發現個案,選C。B提升疾病認知、A追蹤檢查與治療、D早期治療以維持功能,均屬個案被發現、納入管理之後才進行的後續步驟,邏輯上不能先於個案的發現。故正解為C。","此題呼應三段五級預防中次段預防的精髓:早期發現、早期治療,而早期發現的第一步就是篩檢(screening)。個案管理流程可記為:找出(篩檢發現)→評估→衛教認知→治療追蹤→功能維持。沒有先找到個案,後面環節皆無從展開,故發現個案是起點也是優先。可連結高危險群篩檢、代謝症候群防治與四癌篩檢。判斷訣竅:凡問慢性病管理最優先,通常是發現\u002F篩檢個案而非治療或衛教。",[24,27,29,31],{"term":25,"count":26},"慢性病個案管理流程",1,{"term":28,"count":26},"篩檢screening",{"term":30,"count":26},"次段預防早期發現",{"term":32,"count":26},"高危險群管理",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-106-2-psychiatric-community-076","社區衛生護理師為弱勢個案族群爭取所需服務，促成相關政策之立法，是屬於何項角色的發揮？",76,{"webId":39,"stem":40,"number":41,"year":42,"session":10},"nurse-107-2-psychiatric-community-012","有關情緒障礙疾患的相關敘述，下列何者最適當？",12,107,{"webId":44,"stem":45,"number":46,"year":47,"session":10},"nurse-108-2-psychiatric-community-026","朱小姐，一位住院的精神病人，22 歲，護生實習照顧她已三週，護理師觀察到朱小姐與護生互動良好，且都能在護生陪同下配合病房活動，但每天約下午 3 點多護生與護理師交班時，朱小姐會出現焦慮，害怕的情形，而頻頻要求入保護室，請問下列那一項可列入照護計畫中？",26,108,{"webId":49,"stem":50,"number":51,"year":52,"session":10},"nurse-109-2-psychiatric-community-064","有關更年期婦女骨質疏鬆危險因子的敘述，下列何者較不適當？",64,109,{"webId":54,"stem":55,"number":56,"year":57,"session":26},"nurse-111-1-psychiatric-community-028","有關酒精成癮治療的敘述，下列何者錯誤？",28,111,{"webId":59,"stem":60,"number":61,"year":62,"session":26},"nurse-112-1-psychiatric-community-062","有關 A 型肝炎的描述，下列何者正確？",62,112,"2026-09-04",1788510700714]