[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-109-1-psychiatric-community-066":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":32,"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-109-1-精神科與社區衛生護理學-066","nurse-109-1-psychiatric-community-066",109,1,66,"張先生與張太太首次參加社區成人健康檢查，張先生檢測結果顯示有血糖過高，張太太子宮頸癌篩檢為陽性。衛生所王護理師至張家家庭訪視，追蹤兩人狀況。但抵達張家時，張太太因事外出，只有張先生在家。王護理師為張先生測量血糖，飯後兩小時血糖值為 210 mg\u002FdL，王護理師如何向張先生解釋此數值最為合宜？",{"A":14,"B":15,"C":16,"D":17},"目前血糖控制在正常範圍，繼續維持即可","目前血糖控制在正常範圍，但要定期再檢查","目前血糖過高，需就醫進一步檢查","目前血糖過高，但只要少吃甜食即可","C",null,[],"本題考點是飯後兩小時血糖的判讀與適切衛教溝通。依糖尿病診斷標準,飯後兩小時正常應 \u003C140 mg\u002FdL,≧200 即達診斷閾值;本個案 210 mg\u002FdL 明顯偏高,加上初篩已示血糖過高,合宜說法是告知血糖過高、需就醫進一步檢查,選 C。A、B 皆稱「控制在正常範圍」與數值不符,屬錯誤判讀,會延誤就醫。D 雖承認過高,卻把處置窄化為「少吃甜食」,忽略需醫療評估與完整介入,傳達錯誤且不完整訊息。","血糖判讀三閾值要背熟:空腹 ≧126、飯後兩小時或 OGTT ≧200、HbA1c ≧6.5%,任一達標並複檢即可診斷糖尿病;空腹 100～125 或飯後 140～199 為糖尿病前期。社區篩檢屬初篩,陽性須轉介確診,護理師角色是正確解讀並促成就醫,不宜自行判定正常或給予單一飲食建議。此題把「數值判讀」與「衛教溝通倫理」綁在一起考。",[24,26,28,30],{"term":25,"count":10},"飯後兩小時血糖",{"term":27,"count":10},"糖尿病診斷標準",{"term":29,"count":10},"社區篩檢轉介",{"term":31,"count":10},"衛教溝通",[33,37,42,47,52,57],{"webId":34,"stem":35,"number":36,"year":9,"session":10},"nurse-109-1-psychiatric-community-067","承上題，王護理師要了解張太太子宮頸癌追蹤檢查情形，下列那種處置最合宜？",67,{"webId":38,"stem":39,"number":40,"year":41,"session":10},"nurse-110-1-psychiatric-community-003","黃先生，55 歲，被診斷為思覺失調症，與案母同住，服藥不規則，須由案母提醒他吃藥。一個月前，案母因病過世，黃先生認為鄰居透過社區的 LINE 群組說他的壞話，因此作勢要攻擊鄰居。黃先生最可能有以下何種症狀？",3,110,{"webId":43,"stem":44,"number":45,"year":41,"session":46},"nurse-110-2-psychiatric-community-017","有關病人於住院期間憂鬱症的照護，下列敘述何者正確？",17,2,{"webId":48,"stem":49,"number":50,"year":51,"session":46},"nurse-111-2-psychiatric-community-055","護理師進行社區評估，運用政府或相關機構的統計資料，是屬於何種評估方法？",55,111,{"webId":53,"stem":54,"number":55,"year":56,"session":40},"nurse-112-3-psychiatric-community-019","有關酒癮病人之敘述，下列何者正確？①停止喝酒後，戒斷症狀會在很短的時間內發生，且持續 5～7 天 ②酒精戒斷譫妄以聽幻覺為主 ③戒斷症狀包括：焦慮、厭食、失眠、顫抖等 ④常有營養不良和維他命 B 群缺乏的情形",19,112,{"webId":58,"stem":59,"number":60,"year":61,"session":10},"nurse-114-1-psychiatric-community-013","承上題，住院第二天，陳同學表示我的父母一定是假的，否則不會將自己的小孩抓來住院。下列護理師的回答何者最適當？",13,114,"2026-09-04",1788510714599]