[{"data":1,"prerenderedAt":67},["ShallowReactive",2],{"q-nurse-107-2-psychiatric-community-054":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":36,"lastmod":66},"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-054","nurse-107-2-psychiatric-community-054",107,2,54,"以三段五級的觀點，對易孳生登革熱病媒蚊的環境進行投藥，是屬於登革熱防治的何種預防？",{"A":14,"B":15,"C":16,"D":17},"初段預防之特殊保護","初段預防之改善環境衛生","次段預防之消毒","末段預防之感染控制","B","第54題答Ａ或Ｂ者均給分",[],"本題考點在三段五級預防中，對病媒蚊孳生環境投藥的層級歸屬。三段五級的初段預防含「健康促進」與「特殊保護」；對易孳生登革熱病媒蚊的環境投藥，是消除病媒、改善環境衛生的作為，發生在疾病尚未出現之前，歸初段預防的改善環境衛生，選 B。（A）特殊保護主要針對宿主本身（如疫苗、防蚊液、蚊帳）。（C）次段預防指早期診斷與治療，此時已有病例。（D）末段預防指限制殘障與復健。關鍵在「投藥對象是環境而非人、且在發病前」。惟部分教科書將環境衛生歸入特殊保護，兩者界線稍有重疊，故把握度標中等。","三段五級（Leavell & Clark）：初段＝健康促進＋特殊保護；次段＝早期診斷早期治療；末段＝限制殘障＋復健。登革熱防治對照：清除孳生源、環境投藥噴消＝初段（環境面）；防蚊液、紗窗、疫苗＝初段特殊保護（宿主面）；出現發燒盡速就醫確診＝次段；重症支持治療與復原＝末段。爭議點在「環境衛生」有教科書歸特殊保護，但本題官方以『改善環境衛生』為答，記住針對『環境』與『發病前』兩要件即可。",[24,27,30,33],{"term":25,"count":26},"三段五級預防",27,{"term":28,"count":29},"初段預防",6,{"term":31,"count":32},"登革熱防治",4,{"term":34,"count":35},"環境衛生",3,[37,41,46,51,56,62],{"webId":38,"stem":39,"number":40,"year":9,"session":10},"nurse-107-2-psychiatric-community-055","下列何者不是家庭增能（family empowerment）的表現？",55,{"webId":42,"stem":43,"number":44,"year":45,"session":10},"nurse-108-2-psychiatric-community-071","有關家庭成員擴散期的敘述，下列何者錯誤？",71,108,{"webId":47,"stem":48,"number":49,"year":50,"session":10},"nurse-109-2-psychiatric-community-005","護理師在進行精神病人的行為治療過程中，依病人特性設計有效的行為治療計畫，其常用的治療技術，下列何項正確？①正增強 ②認知療法 ③代幣制度 ④行為逐步養成",5,109,{"webId":52,"stem":53,"number":54,"year":55,"session":10},"nurse-110-2-psychiatric-community-043","有關全民健康保險預防保健服務的敘述，下列何者錯誤？",43,110,{"webId":57,"stem":58,"number":59,"year":60,"session":61},"nurse-112-1-psychiatric-community-007","有關電氣痙攣治療（electroconvulsive therapy, ECT）之併發症，主要為下列何項？①頭痛 ②腦出血 ③呼吸暫停 ④短暫記憶喪失",7,112,1,{"webId":63,"stem":64,"number":65,"year":60,"session":35},"nurse-112-3-psychiatric-community-041","下列何種家庭評估工具，最適合用來評估獨居老人的外在連結和資源？",41,"2026-09-04",1788510726991]