[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-107-2-psychiatric-community-056":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-107-2-精神科與社區衛生護理學-056","nurse-107-2-psychiatric-community-056",107,2,56,"住護理之家的朱老先生，最近護理師發現他手指縫出現抓痕、紅斑，經醫師診斷為疥瘡，治療中。下列有關疥瘡之描述，何者正確？①常見於人口密集機構 ②疥蟲在皮膚表面挖出隧道產卵 ③只要 40 度高溫即可殺死疥蟲 ④照顧者常接觸，只要勤清潔不需要一同治療 ⑤常見於白天劇烈搔癢",{"A":14,"B":15,"C":16,"D":17},"僅①②","僅③⑤","①②③","②③ ④","A",null,[],"本題考點在疥瘡（scabies）的流行病學與病理特徵，判斷正確組合。①疥瘡藉密切接觸傳播，常見於護理之家等人口密集機構，正確。②疥蟲（疥蟎）會鑽入表皮角質層挖掘隧道並在其中產卵，正確。③疥蟲需約 50℃以上高溫方能殺滅，「僅 40℃」不足，錯誤。④照顧者密切接觸屬高風險，應同時接受治療，非只勤清潔即可，錯誤。⑤疥瘡搔癢在夜間（就寢後身體變暖時）加劇，非白天，錯誤。故正確為①②，選 A。","疥瘡由人疥蟎（Sarcoptes scabiei）引起，好發指縫、手腕、腋下、腹股溝等皮膚皺褶。傳播靠皮膚直接或衣物寢具間接接觸，機構群聚常見。治療用 permethrin 乳膏或 ivermectin，且『同住／照顧者需一同治療』以斷傳播鏈。環境處理：衣物寢具以 60℃ 以上熱水洗或封袋隔離數日。記憶點：夜間癢、挖隧道、群聚、接觸者共治——四大特徵一次記牢。",[24,27,29,31],{"term":25,"count":26},"疥瘡 scabies",1,{"term":28,"count":26},"疥蟎",{"term":30,"count":26},"接觸傳染",{"term":32,"count":26},"群聚感染控制",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-107-2-psychiatric-community-057","社區護理師希望知道社區的權力分配、溝通方式、問題解決辦法、決策過程等資訊，較適當的評估方法為何？",57,{"webId":39,"stem":40,"number":41,"year":42,"session":10},"nurse-108-2-psychiatric-community-073","我國勞動基準法為保障在職婦女能持續哺餵母乳，除規定之休息時間外，雇主應每日另給哺乳之次數與時間為何？",73,108,{"webId":44,"stem":45,"number":46,"year":47,"session":10},"nurse-109-2-psychiatric-community-007","40 歲的張小姐患有憂鬱症，某日向護理師抱怨：「吃藥讓我覺得非常不舒服，可否請你告訴醫生？」下列何項護理師的回答較為合適？",7,109,{"webId":49,"stem":50,"number":51,"year":52,"session":10},"nurse-110-2-psychiatric-community-045","健康里於該年 7 月 1 日總人口數 3,000 人，育齡婦女有 450 人，該年活產嬰兒 60 人，下列健康里的粗出生率（crude birth rate, CBR）何者正確？",45,110,{"webId":54,"stem":55,"number":56,"year":57,"session":26},"nurse-112-1-psychiatric-community-009","協助病人規則服用 Lithium Carbonate，下列措施何者最不適宜？",9,112,{"webId":59,"stem":60,"number":61,"year":57,"session":62},"nurse-112-3-psychiatric-community-043","婦女更年期生理變化之敘述，下列何者錯誤？",43,3,"2026-09-04",1788510727008]