[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-108-2-psychiatric-community-080":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":26},"nurse-108-2-精神科與社區衛生護理學-080","nurse-108-2-psychiatric-community-080",108,2,80,"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？",{"A":14,"B":15,"C":16,"D":17},"減少飲水量，以避免對腎臟的負荷","儘量採用低蛋白飲食，以減少對腎臟的負荷","定期接受血壓、血糖、肌肝酸與蛋白尿的檢查","按時服用藥物改善腎臟功能","C",null,[],"本題考點是慢性腎臟病(CKD)預防的正確衛教。預防與早期偵測 CKD 的核心是定期監測危險因子與腎功能,故 C 正確——高血壓、糖尿病是兩大主因,血清肌酸酐可估算腎功能,蛋白尿是早期腎損傷指標。A 錯在『減少飲水』:預防階段應維持適當水分,限水僅在特定末期醫囑下才需要。B 錯在低蛋白飲食是『已進展 CKD』的治療性飲食,對一般人施行會營養不良。D 錯在多數情況並無能『改善』既有腎功能的藥物,重點在控制病因、延緩惡化。考點在於分辨『預防衛教』與『已病治療處置』的界線。","CKD 防治口訣『控三高、驗腎功、慎用藥』:控制血壓血糖血脂、定期驗肌酸酐(算 eGFR)與尿蛋白(尿液白蛋白\u002F肌酸酐比值 UACR)、避免不當使用 NSAIDs 與來路不明藥草。陷阱設計都在『把治療階段的處置錯置到預防階段』:限水、低蛋白飲食都是進展期的醫療性措施,對一般民眾的初級預防是錯的。腎臟病早期無症狀,故『定期檢查以早期發現』永遠是預防衛教的安全正解方向。",[24,27,29,31],{"term":25,"count":26},"慢性腎臟病預防",1,{"term":28,"count":26},"血清肌酸酐與eGFR",{"term":30,"count":26},"蛋白尿篩檢",{"term":32,"count":26},"三高控制",[34,38,42,47,52,57],{"webId":35,"stem":36,"number":26,"year":37,"session":26},"nurse-109-1-psychiatric-community-001","澎湖縣的王先生為拒絕住院之嚴重病人，需緊急安置強制住院，依據現行精神衛生法得經由下列何者鑑定最為合適？",109,{"webId":39,"stem":40,"number":41,"year":37,"session":10},"nurse-109-2-psychiatric-community-017","身為主護護理師，此階段照護何者最重要？",17,{"webId":43,"stem":44,"number":45,"year":46,"session":26},"nurse-110-1-psychiatric-community-031","王小弟，5 歲，診斷為自閉症類群障礙症（Autism Spectrum Disorder），下列護理措施何者錯誤？",31,110,{"webId":48,"stem":49,"number":50,"year":51,"session":26},"nurse-111-1-psychiatric-community-069","下列何者是社區健康營造計畫達到永續經營最重要的措施？",69,111,{"webId":53,"stem":54,"number":55,"year":56,"session":10},"nurse-112-2-psychiatric-community-033","有關老年憂鬱症的敘述，下列何者最不適切？",33,112,{"webId":58,"stem":59,"number":60,"year":61,"session":10},"nurse-113-2-psychiatric-community-047","有關長期照護中社區式照護的資源，下列何者不適當？",47,113,"2026-09-04",1788510708106]