[{"data":1,"prerenderedAt":62},["ShallowReactive",2],{"q-nurse-108-2-psychiatric-community-017":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-108-2-精神科與社區衛生護理學-017","nurse-108-2-psychiatric-community-017",108,2,17,"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？",{"A":14,"B":15,"C":16,"D":17},"應採用低鈉飲食，以免造成鈉離子滯留過多","安排數位病友陪伴個案進餐，以增加食慾","選擇高熱量的均衡飲食","使用調味料以促進食慾","C",null,[],"本題考點為鬱症病人的營養護理。依鬱症病人常因食慾不振、進食量少而體重下降的病理特徵,護理目標在確保足夠營養攝取以維持體重與體力,故應選擇高熱量的均衡飲食,選 C。A 低鈉飲食錯在鬱症無鈉滯留問題,限鈉反而降低食物適口性、加重進食困難。B 安排數位病友陪伴進餐錯在鬱症病人多退縮、不願社交,強行安排多人反增壓力,且陪伴增加食慾證據薄弱。D 使用調味料促食慾錯在調味僅為輔助且非核心,無法解決攝取量嚴重不足的根本問題。判斷關鍵在於面對體重減輕與進食量少,優先確保熱量與均衡營養密度。","鬱症生理照護重點:食慾與體重下降是鬱症核心生理症狀,護理以「確保營養與體重」為先。策略:高熱量高營養密度、少量多餐、選個案偏好食物;避免不必要飲食限制。低鈉飲食用於心衰、高血壓、腹水等鈉滯留狀況,與鬱症無關。心理層面另需監測自殺風險與活動退縮。口訣:鬱症進食少,先補熱量不設限。",[24,26,29,31],{"term":25,"count":10},"鬱症",{"term":27,"count":28},"營養護理",1,{"term":30,"count":28},"高熱量均衡飲食",{"term":32,"count":28},"食慾不振",[34,38,43,47,52,57],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-108-2-psychiatric-community-018","王先生為躁症病人，情緒高昂、易怒，容易受病友影響而生氣，下列對於王先生活動的安排，何者較適切？",18,{"webId":39,"stem":40,"number":41,"year":42,"session":28},"nurse-109-1-psychiatric-community-034","有關社區精神心理衛生之護理措施中三級（段）預防，下列說明何者正確？",34,109,{"webId":44,"stem":45,"number":46,"year":42,"session":10},"nurse-109-2-psychiatric-community-048","有關全民健保之敘述，下列何者錯誤？",48,{"webId":48,"stem":49,"number":50,"year":51,"session":28},"nurse-111-1-psychiatric-community-006","陳護理師因為先生喝酒問題常常引起夫妻之間的衝突，陳護理師想到今天要接的新病人，診斷為酒精使用障礙症（alcohol use disorder），陳護理師就感到焦慮、生氣，這是下列何種現象？",6,111,{"webId":53,"stem":54,"number":55,"year":56,"session":28},"nurse-112-1-psychiatric-community-050","社區護理師利用敏感度（sensitivity）80%，特異度（specificity）94%的大腸癌篩檢工具，篩檢社區民眾是否罹患大腸癌，下列敘述何者正確？",50,112,{"webId":58,"stem":59,"number":41,"year":60,"session":28},"nurse-113-1-psychiatric-community-034","有關健康促進與疾病預防概念之敘述，下列那些正確？①健康促進對象為全體民眾 ②疾病預防的對象為疾病高危險群 ③健康促進是要避免某行為發生 ④疾病預防是積極拓展健康潛能 ⑤健康促進能使個人潛能發揮至最佳狀態",113,"2026-09-04",1788510707600]