[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-107-1-psychiatric-community-059":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-059","nurse-107-1-psychiatric-community-059",107,1,59,"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",{"A":14,"B":15,"C":16,"D":17},"①②③","②③④","①③⑤","②④⑤","C",null,[],"本題考點在登革熱的防疫措施與免疫特性。依傳染病防治原則，①衛生機關須追查同行者的暴露史與健康資料以掌握疫情、③邊境對來自流行地區具症狀者須進行檢疫程序、⑤登革熱屬應於 24 小時內通報之傳染病，三者正確，故選 C（①③⑤）。②「感染某型登革熱病毒對該型仍會重複感染」錯誤，感染某一型後對「該型」產生終身免疫，會重複感染的是「不同型」，且二次感染異型時重症風險升高；④「治療期間仍可捐血」錯誤，登革熱病毒血症期捐血會經血液傳播，屬捐血禁忌。","登革病毒有四種血清型（DENV-1~4），感染一型後對同型終身免疫、對異型僅短暫交叉保護；日後感染異型時，非中和抗體反而促進病毒進入細胞，即抗體依賴增強（ADE）現象，是登革出血熱／休克症候群的重要機轉，故「二次感染異型更危險」是必考點。傳播媒介為埃及斑蚊與白線斑蚊，防治核心在清除孳生源（清積水）。應 24 小時內通報，病毒血症期禁止捐血以防輸血傳播。",[24,26,28,30],{"term":25,"count":10},"登革熱四型血清型",{"term":27,"count":10},"同型終身免疫",{"term":29,"count":10},"抗體依賴增強 ADE",{"term":31,"count":10},"24 小時內通報",[33,37,42,47,52,57],{"webId":34,"stem":35,"number":36,"year":9,"session":10},"nurse-107-1-psychiatric-community-060","林太太，76 歲，有高血壓並按時服藥；社區護理師可以建議她接受何種免費疫苗之注射？①帶狀疱疹疫苗 ②肺炎鏈球菌疫苗 ③流感疫苗 ④人類乳突病毒疫苗",60,{"webId":38,"stem":39,"number":40,"year":9,"session":41},"nurse-107-2-psychiatric-community-076","目前國內長期照護機構評鑑採用的品質指標，下列何者正確？①跌倒 ②鼻胃管與導尿管移除 ③非計畫性體重改變 ④多重用藥 ⑤預立指示",76,2,{"webId":43,"stem":44,"number":45,"year":46,"session":10},"nurse-109-1-psychiatric-community-010","陳護理師接新住院病人，依據治療性溝通原則與新病人進行會談，下列描述何項是陳護理師較適切的表現？",10,109,{"webId":48,"stem":49,"number":50,"year":51,"session":10},"nurse-110-1-psychiatric-community-048","下列那些疾病是由病毒引起？①登革熱 ②日本腦炎 ③霍亂 ④麻疹",48,110,{"webId":53,"stem":54,"number":55,"year":56,"session":41},"nurse-111-2-psychiatric-community-012","下列何者屬於心理分析治療的策略？",12,111,{"webId":58,"stem":59,"number":60,"year":61,"session":41},"nurse-112-2-psychiatric-community-046","有關篩檢工具的敘述，下列何者正確？",46,112,"2026-09-04",1788510704561]