[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-107-1-psychiatric-community-080":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-107-1-精神科與社區衛生護理學-080","nurse-107-1-psychiatric-community-080",107,1,80,"承上題，社區衛生護理師應該對王先生提供的衛教，下列何者最不恰當？",{"A":14,"B":15,"C":16,"D":17},"明年可以再接受整合性篩檢服務","安排進一步血糖檢測","維持現有體重與生活型態","運動宜在飯後一小時","C",null,[],"本題考點在代謝症候群個案的衛教內容，屬「選最不恰當」題。承上題王先生已符合代謝症候群部分項目、屬心血管與糖尿病高風險，故 C「維持現有體重與生活型態」最不恰當、即為答案，因其現況正是危險因子，應積極改變飲食、運動與體重而非維持不變。A 提醒明年可再接受整合性篩檢，符合定期追蹤原則，恰當；B 安排進一步血糖檢測，針對其血糖偏高做確認診斷，恰當；D 運動宜在飯後一小時，可避免空腹運動低血糖、並助血糖控制，屬合宜指導。故維持原狀違背風險族群應介入改變的原則。","代謝症候群的處置核心是生活型態調整——減重（減 5–10% 即顯著改善代謝）、規律運動、健康飲食與戒菸限酒，以改善胰島素阻抗、延緩進展為糖尿病與心血管疾病。對已有危險因子者衛教「維持現狀」等同放任風險累積，違反次級預防精神。飯後一小時運動可利用進食後血糖上升期消耗葡萄糖、降低餐後高血糖並避免空腹運動的低血糖與頭暈。判斷要訣：高風險個案的正確衛教一定指向「改變與追蹤」，凡「維持不變」多為錯誤選項。",[24,27,29,31],{"term":25,"count":26},"次級預防",8,{"term":28,"count":10},"代謝症候群處置",{"term":30,"count":10},"生活型態調整",{"term":32,"count":10},"減重",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":10,"year":9,"session":37},"nurse-107-2-psychiatric-community-001","思覺失調症（昔稱精神分裂症）病人以被害妄想顯示對他人的敵意，最可能是反應下列何種心理防衛機轉？",2,{"webId":39,"stem":40,"number":41,"year":42,"session":37},"nurse-108-2-psychiatric-community-017","林小姐，診斷為鬱症，入院後多躺床，進食量少，入院第一週，體重已由 60 公斤降至 58 公斤，下列護理措施何者最適宜？",17,108,{"webId":44,"stem":45,"number":46,"year":47,"session":10},"nurse-109-1-psychiatric-community-031","精神疾病診斷準則手冊（DSM-5）對於「認知障礙症」所提出的認知功能範疇，下列何項正確？",31,109,{"webId":49,"stem":50,"number":51,"year":52,"session":10},"nurse-110-1-psychiatric-community-069","長期暴露於游離輻射環境的勞工易罹患下列何種疾病？",69,110,{"webId":54,"stem":55,"number":56,"year":57,"session":37},"nurse-111-2-psychiatric-community-033","慢性思覺失調症病人，於急性病房出院後，轉介至社區復健中心接受工作技能訓練。以三級預防概念來看，「社區復健中心」是屬於何種層級的預防性服務範疇？",33,111,{"webId":59,"stem":60,"number":61,"year":62,"session":37},"nurse-112-2-psychiatric-community-067","有關兒童視力保健之衛教指導，下列何者錯誤？",67,112,"2026-09-04",1788510704757]