[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-109-1-psychiatric-community-076":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":32,"lastmod":63},"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-076","nurse-109-1-psychiatric-community-076",109,1,76,"在長期照護機構內發現住民感染疥瘡，下列處理何者最不適當？",{"A":14,"B":15,"C":16,"D":17},"採用接觸性隔離法隔離病人","衣服及被單應使用攝氏 60 度以上熱水清洗","無法清洗的枕頭或床墊應密封於塑膠袋內靜置兩週","抗疥藥物勿塗抹於紅斑或水泡以外的皮膚","D",null,[],"本題考點是長照機構疥瘡感染的正確處置,辨識最不適當者。依疥瘡防治,抗疥藥物須自頸部以下全身塗抹,涵蓋指縫、腋下、鼠蹊等好發皺褶,而非只塗紅斑或水泡處,因疥蟎會鑽行於外觀正常皮膚;故 D「勿塗抹於紅斑或水泡以外皮膚」違反用藥原則,最不適當,選 D。A 正確:疥瘡經接觸傳染應採接觸性隔離。B 正確:衣物被單以 60℃ 以上熱水清洗殺蟎。C 正確:無法清洗的枕頭床墊密封塑膠袋靜置兩週去污。","疥蟎(Sarcoptes scabiei)鑽入表皮角質層產卵,典型隧道與夜間劇癢見於指縫、腕屈側、腋窩、生殖器。治療須全身塗藥並在 7～14 天後複塗以殺滅新孵幼蟲,同住者常須一併治療。環境去污:離開人體的疥蟎約 2～3 天內死亡,故熱洗或密封 2 週皆有效。用藥只塗病灶會漏掉正常皮膚下的蟲體與蟲卵,導致治療失敗與再傳染,這正是 D 的錯誤本質。",[24,26,28,30],{"term":25,"count":10},"疥瘡",{"term":27,"count":10},"接觸性隔離",{"term":29,"count":10},"抗疥藥物全身塗抹",{"term":31,"count":10},"環境去污",[33,37,42,47,52,58],{"webId":34,"stem":35,"number":36,"year":9,"session":10},"nurse-109-1-psychiatric-community-077","有關「代謝症候群」判定標準，下列何者錯誤？",77,{"webId":38,"stem":39,"number":40,"year":41,"session":10},"nurse-110-1-psychiatric-community-013","王先生，在家因覺得有人要害他、跟蹤他而不敢睡覺，故由父親帶來住院，住院後仍覺得周遭的人不懷好意，護理師提供之照護措施，下列何者正確？①同理並接受病人感受 ②主動積極接觸關懷病人 ③評估妄想對病人生活干擾的程度 ④不要與病人爭辯妄想的真實性",13,110,{"webId":43,"stem":44,"number":45,"year":41,"session":46},"nurse-110-2-psychiatric-community-027","邱同學在會考前 1 個月，每次學校模擬考時都感到右手無力，被家人送到神經內科求診，但經多科醫師會診及檢查，卻找不到任何跟生理病變有關的證據，邱同學最有可能是下列何項診斷？",27,2,{"webId":48,"stem":49,"number":50,"year":51,"session":46},"nurse-111-2-psychiatric-community-065","林先生與父親、太太和二位幼稚園女兒同住。請問林家是屬於何種家庭類型？",65,111,{"webId":53,"stem":54,"number":55,"year":56,"session":57},"nurse-112-3-psychiatric-community-029","有關新生兒死亡率之敘述，下列何者正確？",29,112,3,{"webId":59,"stem":60,"number":61,"year":62,"session":10},"nurse-114-1-psychiatric-community-023","楊太太擔心自己罹患大腸癌，經多次檢查皆正常，但她仍深信自己不久人世，變得無食慾、失眠，有輕生念頭。下列何項為最優先的護理措施？",23,114,"2026-09-04",1788510714711]