[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-109-1-psychiatric-community-078":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"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":26},"nurse-109-1-精神科與社區衛生護理學-078","nurse-109-1-psychiatric-community-078",109,1,78,"有關骨質疏鬆症的敘述，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"女性罹患率較男性高","髖部或脊椎的雙能量 X 光骨密度檢查（DEXA）是目前的診斷依據","游泳可以改善骨質疏鬆","骨密度 T 值小於-2.5","C",null,[],"本題考點是骨質疏鬆症的流行病學、診斷與運動處方。依運動生理,改善骨密度需負重(承重)運動藉機械應力刺激成骨,而游泳屬非負重、受水浮力支撐,對增加骨密度助益有限,故 C「游泳可改善骨質疏鬆」錯誤,選 C。A 正確:女性停經後雌激素下降致骨流失加速,罹患率高於男性。B 正確:髖部或脊椎 DEXA 為診斷黃金標準。D 正確:骨密度 T 值 ≦-2.5 即診斷骨質疏鬆。","沃夫定律(Wolff's law):骨骼會依所受機械負荷重塑,承重刺激促進成骨細胞活性、提升骨密度。DEXA 之 T 值以年輕健康族群為對照:≧-1 正常、-1 至 -2.5 骨質缺乏(osteopenia)、≦-2.5 骨質疏鬆。停經後雌激素驟降,破骨活性相對增強致快速骨流失,是女性高罹患率主因。運動處方應選負重與阻力型,游泳保護關節但缺乏承重刺激,不列為骨密度提升首選。",[24,27,29,31],{"term":25,"count":26},"骨質疏鬆症",2,{"term":28,"count":10},"DEXA骨密度T值",{"term":30,"count":10},"負重運動與沃夫定律",{"term":32,"count":10},"停經與雌激素",[34,38,43,47,52,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-109-1-psychiatric-community-079","李老先生是 82 歲的糖尿病個案，血糖控制不好，也不願就醫，他向社區護理師說：「我已經活夠了，現在都沒不舒服，如果怎樣，死了就算了，無須再就醫吃藥」。根據健康信念模式，社區護理師應加強何項認知的對話？",79,{"webId":39,"stem":40,"number":41,"year":42,"session":10},"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":44,"stem":45,"number":46,"year":42,"session":26},"nurse-110-2-psychiatric-community-029","美沙冬（Methadone）本為麻醉性止痛劑，可替代嗎啡類藥物，以達到治療嗎啡類藥物成癮患者。下列敘述何者正確？",29,{"webId":48,"stem":49,"number":50,"year":51,"session":26},"nurse-111-2-psychiatric-community-067","有關護理師對更年期婦女的護理指導，下列何者最不適當？",67,111,{"webId":53,"stem":54,"number":55,"year":56,"session":57},"nurse-112-3-psychiatric-community-031","社區護理師透過網路社群邀請里內更年期婦女參加心血管疾病風險調查，這是那一種資料收集方式？",31,112,3,{"webId":59,"stem":60,"number":61,"year":62,"session":10},"nurse-114-1-psychiatric-community-025","有關解除肢體的約束， 下列何者最不適宜？",25,114,"2026-09-04",1788510714739]