[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-107-1-psychiatric-community-072":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"lastmod":64},"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-107-1-精神科與社區衛生護理學-072","nurse-107-1-psychiatric-community-072",107,1,72,"某社區護理師蒐集資料時發現，該社區的嬰兒死亡率較其他社區低，但其中某一少數弱勢族群的嬰兒死亡率特別高。當社區護理師基於社會正義（social justice）來決定社區健康問題的優先順序時，下列敘述何者正確？",{"A":14,"B":15,"C":16,"D":17},"應以社區大多數的民眾利益為優先，故該社區嬰兒死亡率的問題應排序較後","應確保社區中弱勢族群的健康問題優先於一般民眾，故該族群嬰兒死亡率的問題應優先處理","社區中弱勢族群的嬰兒死亡率高通常與其文化或健康行為有關，和資源的提供較無關係，故該社區嬰兒死亡率的問題應排序較後","弱勢族群的問題通常很複雜且爭議較多，為避免造成社會對立與誤解，應將該社區嬰兒死亡率的問題排序較後","B",null,[],"本題考點在以社會正義排定社區健康問題優先順序的原則。依社會正義（social justice）強調公平分配資源、優先照顧弱勢以縮小健康不平等，當社區整體嬰兒死亡率雖低、但特定弱勢族群偏高時，應確保弱勢族群的健康問題優先於一般民眾處理，故選 B。A 以多數利益為先、將弱勢排後，違反社會正義的公平原則；C 將問題歸因於弱勢族群的文化或行為、否定資源因素，屬指責受害者且不符事實；D 以避免對立為由排後處理，是逃避責任、忽視弱勢需求。故唯 B 契合社會正義的核心價值。","社會正義與功利主義（最大多數人的最大福祉）在資源分配上常有張力：功利取向可能犧牲少數，社會正義則主張優先矯正不平等、投資弱勢以達實質公平（equity）而非齊頭式平等（equality）。健康不平等多源於社會決定因素（socioeconomic determinants），如收入、教育、就醫可近性，故將差異單純歸因於個人文化行為（如選項 C）即為「指責受害者」謬誤。護理倫理中，正義原則要求依需要分配資源，弱勢族群的高嬰兒死亡率正是應優先介入的健康不平等訊號。",[24,27,29,31],{"term":25,"count":26},"健康不平等",4,{"term":28,"count":10},"社會正義",{"term":30,"count":10},"弱勢優先",{"term":32,"count":10},"公平 equity",[34,38,44,49,54,59],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-107-1-psychiatric-community-073","社區護理師在擬訂家庭護理目標的順序時，下列何者為考量的主要依據？",73,{"webId":39,"stem":40,"number":41,"year":42,"session":43},"nurse-108-2-psychiatric-community-009","馬先生，患思覺失調症約 2 年，近日與人爭吵，擔心會被殺害而不敢睡覺，整天疑神疑鬼，且對此想法堅信不移，無法接受別人的建議，有關馬先生防衛機轉之敘述，下列何者正確？",9,108,2,{"webId":45,"stem":46,"number":47,"year":48,"session":10},"nurse-109-1-psychiatric-community-023","躁症發作（manic episode）的診斷準則，下列何者正確？",23,109,{"webId":50,"stem":51,"number":52,"year":53,"session":10},"nurse-110-1-psychiatric-community-061","若紫外線指數為 7，且空氣品質指標（AQI）為 130，下列何者正確？",61,110,{"webId":55,"stem":56,"number":57,"year":58,"session":43},"nurse-111-2-psychiatric-community-025","有關焦慮的敘述，下列何者最適當？",25,111,{"webId":60,"stem":61,"number":62,"year":63,"session":43},"nurse-112-2-psychiatric-community-059","護理師在社區關懷據點進行失智預防衛生教育計畫，下列執行過程順序，何者最適當？①擬訂目標 ②確認需求 ③規劃內容 ④執行計畫 ⑤評價成效",59,112,"2026-09-04",1788510704684]