[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-108-2-psychiatric-community-079":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":35,"lastmod":65},"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-108-2-精神科與社區衛生護理學-079","nurse-108-2-psychiatric-community-079",108,2,79,"依照三段五級防治工作，高血壓個案至社區藥局接受免費用藥指導與處方箋領藥等服務，此項措施屬於那一層次？",{"A":14,"B":15,"C":16,"D":17},"第一級健康促進","第二級特殊保護","第三級早期診斷與治療","第四級限制殘障","D",null,[],"本題考點是三段五級中『限制殘障』層級的辨識。高血壓個案『已確診』並持續在社區藥局接受用藥指導與領藥,目的是控制病情、避免併發症與失能,依 Leavell & Clark 模式,屬次段預防的第四級「限制殘障」,即對已發病者施予適當治療防止病程進展,故選 D。A 第一級健康促進與 B 第二級特殊保護都屬初段預防,對象是尚未發病者,與已確診不符。C 第三級早期診斷與治療針對無症狀期或早期病例的篩檢處置,而本題個案早已確診、進入持續控制階段,層級應更後段。考點在於依個案病程所處階段對應正確預防層級。","三段五級速記:初段預防=第1級健康促進、第2級特殊保護(防病於未然);次段預防=第3級早期診斷治療、第4級限制殘障(已病則控制、防惡化);三段預防=第5級復健。判斷關鍵是『個案在哪個病程點』:未病→1、2級;初病\u002F篩檢→3級;確診持續治療控制併發→4級;失能後功能重建→5級。高血壓長期規律服藥屬控制病情、避免中風或心臟器官損害的第四級,不要因『領藥、指導』像衛教就誤選第一級。",[24,27,30,32],{"term":25,"count":26},"三段五級預防",27,{"term":28,"count":29},"限制殘障",4,{"term":31,"count":10},"Leavell與Clark模式",{"term":33,"count":34},"慢性病持續治療",1,[36,40,45,50,55,60],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-108-2-psychiatric-community-080","社區衛生護理師在教導民眾預防慢性腎臟病的方法，下列何者正確？",80,{"webId":41,"stem":42,"number":43,"year":44,"session":10},"nurse-109-2-psychiatric-community-016","下列何項症狀屬於布洛伊勒所提 4A 的自閉症狀？",16,109,{"webId":46,"stem":47,"number":48,"year":49,"session":34},"nurse-110-1-psychiatric-community-030","對於暴食症（Bulimia Nervosa）病人的特徵之敘述，下列何者錯誤？",30,110,{"webId":51,"stem":52,"number":53,"year":54,"session":34},"nurse-111-1-psychiatric-community-068","依據現行勞工健康保護規則，下列何者不是一般勞工健康檢查的必要項目？",68,111,{"webId":56,"stem":57,"number":58,"year":59,"session":10},"nurse-112-2-psychiatric-community-032","關於譫妄及失智症，下列敘述何者最適切？",32,112,{"webId":61,"stem":62,"number":63,"year":64,"session":10},"nurse-113-2-psychiatric-community-046","評估個案的失能狀況，下列何項身體功能評估工具最不適當？",46,113,"2026-09-04",1788510708101]