[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-109-1-psychiatric-community-079":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":26},"nurse-109-1-精神科與社區衛生護理學-079","nurse-109-1-psychiatric-community-079",109,1,79,"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？",{"A":14,"B":15,"C":16,"D":17},"嚴重性認知","罹患性認知","障礙性認知","利益性認知","A",null,[],"本題考點是健康信念模式四認知的辨識與衛教切入。個案說「活夠了、沒不舒服、死了就算了無須就醫」,顯示他低估糖尿病未控制的嚴重併發症與後果,對後果嚴重性認知不足,應加強嚴重性認知,選 A。B 罹患性指是否會得病或惡化,他已確診非此癥結。C 障礙性指就醫的阻礙如費用交通,他表達的是意願非阻礙。D 利益性指行動的好處,雖相關但核心是輕忽後果嚴重性,故非首要。","HBM 認為行為受四認知驅動:罹患性(我會不會)、嚴重性(有多糟)、利益性(做了有何好處)、障礙性(做了要付什麼代價),再加行動線索與自我效能。個案「沒不舒服就算了」正是低估無症狀期併發症(如腎病變、視網膜病變、足部壞疽)的嚴重性,衛教應具體呈現後果以提升 perceived severity。辨識訣竅:病人否認後果嚴重→補嚴重性;覺得自己不會得→補罹患性;嫌麻煩→降障礙性。",[24,27,28,30],{"term":25,"count":26},"健康信念模式",11,{"term":14,"count":10},{"term":29,"count":10},"糖尿病併發症",{"term":31,"count":10},"衛教切入",[33,37,42,47,52,58],{"webId":34,"stem":35,"number":36,"year":9,"session":10},"nurse-109-1-psychiatric-community-080","有關高纖維飲食的益處，下列何者錯誤？",80,{"webId":38,"stem":39,"number":40,"year":41,"session":10},"nurse-110-1-psychiatric-community-016","王小姐診斷為妄想症（delusional disorder），認為自己的伙食被下毒，而拒絕食用，下列護理措施何者最適切？",16,110,{"webId":43,"stem":44,"number":45,"year":41,"session":46},"nurse-110-2-psychiatric-community-030","有關護理評估自閉症類群障礙症（autism spectrum disorder）的核心障礙，下列何者錯誤？",30,2,{"webId":48,"stem":49,"number":50,"year":51,"session":46},"nurse-111-2-psychiatric-community-068","下列何項資料最適合用來收集社區民眾的價值觀、行為特質、風俗習慣、文化特性以及政治體系？",68,111,{"webId":53,"stem":54,"number":55,"year":56,"session":57},"nurse-112-3-psychiatric-community-032","推動社區健康營造相關活動前，所進行的健康社區評估具有三大面向的特色，不包含下列那一個面向？",32,112,3,{"webId":59,"stem":60,"number":61,"year":62,"session":10},"nurse-114-1-psychiatric-community-026","根據衛生福利部國民健康署的政策，有關增進社區民眾健康識能的敘述，下列何者最不適當？",26,114,"2026-09-04",1788510714747]