[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-107-1-psychiatric-community-078":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-078","nurse-107-1-psychiatric-community-078",107,1,78,"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",{"A":14,"B":15,"C":16,"D":17},"①②③","②③④","③④⑤","①③⑤","D",null,[],"本題考點在個案管理收案對象的篩選原則。依個案管理鎖定高成本、高風險、高複雜度個案的原則，適合列為對象者為①高醫療費用病人、③重複住院病人、⑤換肝手術病人，故選 D（①③⑤）。②自然產產婦屬單純、可預期的常規照護，無需複雜協調；④子宮肌瘤手術病人多為單次計畫性手術、病程單純，亦非個案管理的典型對象。個案管理旨在對照護需求複雜、資源耗用高、易反覆住院者提供整合協調，以提升品質並控制成本，故選擇高費用、重複住院與重大器官移植等個案。","個案管理的收案篩選常用「高風險、高費用、高使用量、高變異、高複雜」等指標，目的在對占用大量資源的少數個案集中整合服務，達成品質與成本雙贏。換肝、重複住院、高醫療費用皆符合複雜且資源密集的特徵；自然產與單純肌瘤手術屬標準化臨床路徑即可涵蓋、變異小，不需個別化密集協調。判斷要訣：問「這個案是否病程複雜、易反覆、耗資源、需跨專業整合」，答是者才收案。",[24,27,29,31],{"term":25,"count":26},"個案管理",10,{"term":28,"count":10},"高風險高費用",{"term":30,"count":10},"重複住院",{"term":32,"count":10},"收案指標",[34,38,44,49,54,59],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-107-1-psychiatric-community-079","王先生社區整合性篩檢的檢查結果，那些符合代謝症候群判定標準？①身高 150 公分、體重 72 公斤 ②血壓為 128\u002F80 mmHg ③腰圍 90 公分 ④空腹血糖（FG）130 mg\u002FdL ⑤高密度脂蛋白膽固醇（HDL-C）43 mg\u002FdL",79,{"webId":39,"stem":40,"number":41,"year":42,"session":43},"nurse-108-2-psychiatric-community-015","護理師執行給藥時，發現病人取藥後未服下並轉身離開。下列何項是此時最適當的護理措施？",15,108,2,{"webId":45,"stem":46,"number":47,"year":48,"session":10},"nurse-109-1-psychiatric-community-029","有關物質使用障礙症的敘述，下列何者錯誤？",29,109,{"webId":50,"stem":51,"number":52,"year":53,"session":10},"nurse-110-1-psychiatric-community-067","對懷孕 32 週孕婦的孕期衛生指導，下列何者適當？①優生保健 ②每個月產檢 ③預防流產 ④乳房護理 ⑤新生兒用物準備 ⑥腿部保暖及抬高",67,110,{"webId":55,"stem":56,"number":57,"year":58,"session":43},"nurse-111-2-psychiatric-community-031","針對譫妄病人的護理措施，下列何者正確？",31,111,{"webId":60,"stem":61,"number":62,"year":63,"session":43},"nurse-112-2-psychiatric-community-065","有關兒童肥胖的護理指導，下列何者最不適當？",65,112,"2026-09-04",1788510704735]