[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-107-2-psychiatric-community-035":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-107-2-精神科與社區衛生護理學-035","nurse-107-2-psychiatric-community-035",107,2,35,"有關發展社區心理衛生的第二段預防服務，下列何者屬於該段服務內容？",{"A":14,"B":15,"C":16,"D":17},"於病人出現急性精神症狀提供住院治療","利用評估工具，早期發現失智症患者的併發症狀","協助社區的民眾獲得壓力調適與情緒管理課程","設置庇護商店，進行個案工作訓練","A",null,[],"本題考點是社區心理衛生三段預防的分段辨識。第二段（次段）預防的核心是「早期發現、早期治療」以縮短病程、降低盛行率。選項中，於病人出現急性精神症狀時提供住院治療，屬對已發病者的早期積極治療，符合第二段預防，選 A。C 提供民眾壓力調適與情緒管理課程，屬第一段（初段）預防，針對健康者減少發生率。D 設置庇護商店做個案工作訓練，屬第三段（末段）復健，減少殘障與促進復元。B 早期發現失智患者的併發症狀，目的在限制併發與失能，較偏第三段預防範疇，故不選。","社區心理衛生三段預防（Caplan）：第一段（primary）針對一般大眾，減少發生率——衛教、壓力管理、危機教育、去除致病因子；第二段（secondary）針對高危或早期個案，早期發現與早期治療以縮短病程、降低盛行率——篩檢、諮商、急性期治療與住院；第三段（tertiary）針對已病者，復健以減少殘障與復發、促進復元——職能訓練、庇護性就業、社區復健。記憶：初段「防未病」、二段「治早病」、三段「復舊病」。本題把「急性症狀住院治療」歸為第二段的早期治療，是關鍵判斷。",[24,27,29,31],{"term":25,"count":26},"社區心理衛生三段預防",1,{"term":28,"count":26},"第二段預防(早期發現治療)",{"term":30,"count":26},"初段與末段預防對比",{"term":32,"count":26},"盛行率與病程",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-107-2-psychiatric-community-036","陳小姐，28 歲，診斷為思覺失調症（昔稱精神分裂症），剛接受醫師轉介接受精神復健機構（住宿型）的照護服務，有關該項服務，下列何者正確？",36,{"webId":39,"stem":40,"number":41,"year":42,"session":10},"nurse-108-2-psychiatric-community-052","社區衛生護理師家訪印尼籍新移民王太太，發現她左臉及手腳有多處新舊不同之瘀青，主訴自己從樓梯處跌落，下列處置何者最適切？",52,108,{"webId":44,"stem":45,"number":46,"year":47,"session":26},"nurse-109-1-psychiatric-community-066","張先生與張太太首次參加社區成人健康檢查，張先生檢測結果顯示有血糖過高，張太太子宮頸癌篩檢為陽性。衛生所王護理師至張家家庭訪視，追蹤兩人狀況。但抵達張家時，張太太因事外出，只有張先生在家。王護理師為張先生測量血糖，飯後兩小時血糖值為 210 mg\u002FdL，王護理師如何向張先生解釋此數值最為合宜？",66,109,{"webId":49,"stem":50,"number":51,"year":52,"session":10},"nurse-110-2-psychiatric-community-024","有關強迫症（obsessive-compulsive disorder, OCD）病人的敘述，下列何者最適當？",24,110,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-111-2-psychiatric-community-068","下列何項資料最適合用來收集社區民眾的價值觀、行為特質、風俗習慣、文化特性以及政治體系？",68,111,{"webId":59,"stem":60,"number":61,"year":62,"session":63},"nurse-112-3-psychiatric-community-022","有關心理防衛機轉的敘述，下列何者正確？",22,112,3,"2026-09-04",1788510726811]