[{"data":1,"prerenderedAt":62},["ShallowReactive",2],{"q-nurse-107-2-psychiatric-community-076":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"lastmod":61},"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":10},"nurse-107-2-精神科與社區衛生護理學-076","nurse-107-2-psychiatric-community-076",107,2,76,"目前國內長期照護機構評鑑採用的品質指標，下列何者正確？①跌倒 ②鼻胃管與導尿管移除 ③非計畫性體重改變 ④多重用藥 ⑤預立指示",{"A":14,"B":15,"C":16,"D":17},"①②③","②③④","③④⑤","①②⑤","A",null,[],"本題考點是國內長期照護機構評鑑所採用的照護品質指標。依現行機構評鑑品質指標,常見核心項目包括跌倒、非計畫性體重改變,以及約束或管路(如鼻胃管、導尿管)之使用與移除等照護結果指標,涵蓋①②③,故選A。④多重用藥與⑤預立指示雖屬重要照護議題,但並非機構評鑑品質指標的標準結果項目,屬干擾選項。此題關鍵在辨識品質指標多聚焦於「可量測的照護結果」,如跌倒率、體重變化、管路留置情形,而非用藥品項數或預立醫療決定的簽署。","長照品質指標多屬結果面(outcome)指標,強調可追蹤、可比較的照護成效,如跌倒、壓傷、非計畫性體重下降、管路留置率、身體約束率等,用以反映機構照護品質並促進改善。鼻胃管與導尿管的「移除」被納入,是因為過度留置管路會增加感染與失能風險,移除率高代表照護積極。多重用藥屬用藥安全評估、預立指示屬倫理與自主議題,分屬不同評鑑面向。",[24,26,29,31],{"term":25,"count":10},"非計畫性體重改變",{"term":27,"count":28},"長照機構品質指標",1,{"term":30,"count":28},"跌倒",{"term":32,"count":28},"管路留置與移除",[34,38,43,47,52,57],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-107-2-psychiatric-community-077","正常老化所產生的生理機能退化，常見的健康問題有下列何者？①心輸出量增加 ②從食物中吸收鈣質能力減少 ③唾液腺分泌減少 ④胰島素分泌增加 ⑤免疫力降低",77,{"webId":39,"stem":40,"number":41,"year":42,"session":28},"nurse-109-1-psychiatric-community-013","有關鋰鹽 Lithium（Lidin®），下列何項敘述最適切？",13,109,{"webId":44,"stem":45,"number":46,"year":42,"session":10},"nurse-109-2-psychiatric-community-027","王小姐，1 年多來在電梯內及地下室特別容易焦慮不安及恐懼，會儘量迴避到這些場所，雖能認知此種害怕並不合理，但自己卻無法控制，其症狀最有可能為下列何項？",27,{"webId":48,"stem":49,"number":50,"year":51,"session":10},"nurse-110-2-psychiatric-community-065","社區護理師首次訪視剛來臺 4 個月的新住民，發現個案懷孕 3 個月，下列何者為優先措施？",65,110,{"webId":53,"stem":54,"number":55,"year":56,"session":28},"nurse-112-1-psychiatric-community-029","有關智能不足的治療原則與預後，下列何者正確？",29,112,{"webId":58,"stem":59,"number":41,"year":60,"session":28},"nurse-113-1-psychiatric-community-013","根據佛洛伊德學說，人格障礙病人在肛門期受到過度的管教約束，影響心性發展。以下何者為其日後的行為模式？",113,"2026-09-04",1788510727192]