[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-107-1-psychiatric-community-058":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":32,"lastmod":62},"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":10},"nurse-107-1-精神科與社區衛生護理學-058","nurse-107-1-psychiatric-community-058",107,1,58,"有關腸病毒之描述，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"感染過腸病毒者，以後不會再感染","發病前一週內傳染力最強","以酒精來進行餐具消毒","引起腸病毒感染併發重症之型別以腸病毒 71 型為主","D",null,[],"本題考點在腸病毒的流行病學與消毒特性。依疾病管制署衛教，引起腸病毒感染併發重症的型別以腸病毒 71 型為主，故選 D。A「感染過後不會再感染」錯誤，腸病毒有多種型別，感染某型僅對該型產生免疫、仍可能感染其他型；B「發病前一週傳染力最強」錯誤，腸病毒在發病後一週內傳染力最強，且病後數週糞便仍可排出病毒；C「以酒精消毒餐具」錯誤，腸病毒為無外套膜病毒，酒精與乾洗手效果不佳，應以含氯漂白水或煮沸消毒。故唯 D 正確。","腸病毒屬小 RNA 病毒、無脂質外套膜，這正是酒精無效的關鍵——酒精主要破壞脂質外膜，對無套膜病毒穿透力差，須用次氯酸鈉（漂白水）氧化破壞或高溫。71 型與重症（腦幹腦炎、心肺衰竭）關聯最深，克沙奇 A 型則常見手足口病與疱疹性咽峽炎。傳染力口訣「發病後一週最強、糞便排毒可達數週」。預防重點為勤洗手（且要用肥皂搓洗，非乾洗手）、環境以漂白水消毒。",[24,26,28,30],{"term":25,"count":10},"腸病毒 71 型",{"term":27,"count":10},"無外套膜病毒",{"term":29,"count":10},"漂白水消毒",{"term":31,"count":10},"發病後一週傳染力最強",[33,37,42,47,52,57],{"webId":34,"stem":35,"number":36,"year":9,"session":10},"nurse-107-1-psychiatric-community-059","從印尼旅遊回國的林小姐，機場通關時，發現體溫為 39℃，就醫後確診為登革熱。下列描述何者正確？①衛生機關要追查同行者暴露史及健康資料 ②感染某一型登革熱病毒患者，對該型病毒仍會重複感染 ③只要入境就須進行檢疫程序 ④登革熱只要服藥治療期間，仍可捐血 ⑤登革熱應儘速於 24 小時內通報",59,{"webId":38,"stem":39,"number":40,"year":9,"session":41},"nurse-107-2-psychiatric-community-075","下列何者屬於長期照顧管理中心照顧管理專員（care manager）的工作職責？①擬定照顧計畫 ②協助執行復健 ③連結個案所需服務 ④協助傷口護理 ⑤控制照顧成本",75,2,{"webId":43,"stem":44,"number":45,"year":46,"session":10},"nurse-109-1-psychiatric-community-009","陳護理師與李先生進行支持性心理治療，每次討論到工作挫折時，李先生總是表示不想討論，護理師再次引導李先生表達，病人就表示要停止會談。李先生呈現的是下列何種行為？",9,109,{"webId":48,"stem":49,"number":50,"year":51,"session":10},"nurse-110-1-psychiatric-community-047","有關愛滋病的三段五級防治原則，下列敘述何者錯誤？",47,110,{"webId":53,"stem":54,"number":55,"year":56,"session":41},"nurse-111-2-psychiatric-community-011","某次張小姐在團體治療過程中說：「尤先生剛才指出我在團體中講話的態度引起別人的不舒服，使我更了解到自己和別人互動的問題。」這段話在團體治療中有關對治療性因素的敘述，下列何者最適當？",11,111,{"webId":58,"stem":59,"number":60,"year":61,"session":41},"nurse-112-2-psychiatric-community-045","有關全民健保給付項目，下列何者錯誤？",45,112,"2026-09-04",1788510704551]