[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-108-2-psychiatric-community-064":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"lastmod":62},"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-064","nurse-108-2-psychiatric-community-064",108,2,64,"小華，長住上海，預防接種都在當地完成。今年即將回國就讀國小一年級，家長發現日本腦炎僅接種兩劑，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"需再接種兩劑，間隔 6 個月","中國大陸是接種活性減毒日本腦炎疫苗，僅需再接種一劑","時效已過，需接種三劑","需接種兩劑，間隔 1 個月","B","第64題一律給分",[],"本題考點在於日本腦炎疫苗接種在活性減毒與不活化疫苗間的劑次銜接。中國大陸使用的是活性減毒(live attenuated)日本腦炎疫苗,其保護力所需劑次較少;小華已接種兩劑活性減毒疫苗,依銜接原則僅需再補接種一劑即完成基礎免疫,故選 B。A 再接種兩劑間隔6個月、D 再接種兩劑間隔1個月,均與活性減毒疫苗的劑次需求不符。C「時效已過需接種三劑」錯誤,先前接種紀錄仍有效可承認,不需重新從頭施打三劑。關鍵在辨識疫苗種類(活性減毒)決定補種劑次。","日本腦炎疫苗兩型:不活化(inactivated)需較多劑次;活性減毒(live attenuated)免疫原性強、所需劑次較少。跨國銜接原則:承認既有有效接種紀錄,依現行疫苗種類補足剩餘劑次,而非重打整套。台灣現行日本腦炎採活性減毒細胞培養疫苗,幼兒基礎接種於1歲多起施打並於學齡前補追加。此題屬較冷門的疫苗銜接判斷,confidence 標中。",[24,26,29,31],{"term":25,"count":10},"活性減毒疫苗",{"term":27,"count":28},"日本腦炎疫苗",1,{"term":30,"count":28},"疫苗劑次銜接",{"term":32,"count":28},"承認既有接種紀錄",[34,38,42,47,52,57],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-108-2-psychiatric-community-065","依據 106 年「勞工健康保護規則」規範，雇主僱用勞工時，應就規定項目實施一般體格檢查，此檢查紀錄應至少保存多久？",65,{"webId":39,"stem":40,"number":28,"year":41,"session":10},"nurse-109-2-psychiatric-community-001","阿宏為家中獨子，父親是成功企業家，因工作關係常不在家，對阿宏要求很高，很少稱讚。阿宏上國中後開始瘋狂追逐並模仿某一韓籍男星的穿著舉止，多日曠課且計劃去韓國，此種行為最可能是下列何項心理防衛機轉？",109,{"webId":43,"stem":44,"number":45,"year":46,"session":28},"nurse-110-1-psychiatric-community-015","牛先生，最近被診斷為憂鬱症，醫師開立服用 sertraline（Zoloft ® ）藥物治療，有關 Zoloft 之敘述，下列何者正確？①選擇性血清素回收抑制劑（SSRIs） ②血清素－正腎上腺素回收抑制劑（SNRIs） ③一般持續服用 2 週以上才有療效出現 ④服藥會有嗜睡、噁心嘔吐等副作用",15,110,{"webId":48,"stem":49,"number":50,"year":51,"session":28},"nurse-111-1-psychiatric-community-053","有關社區資源盤點的功能，下列何者錯誤？",53,111,{"webId":53,"stem":54,"number":55,"year":56,"session":10},"nurse-112-2-psychiatric-community-017","劉先生診斷妄想症（Delusional Disorder），堅定地認為太太、兒子與鄰居們意圖要下毒害他，下列敘述何者正確？",17,112,{"webId":58,"stem":59,"number":60,"year":61,"session":10},"nurse-113-2-psychiatric-community-031","護理師排定社區健康問題優先順序，下列何者需優先處理？",31,113,"2026-09-04",1788510707974]