[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-109-2-psychiatric-community-042":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":35,"lastmod":64},"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-109-2-精神科與社區衛生護理學-042","nurse-109-2-psychiatric-community-042",109,2,42,"孕期婦女加強葉酸攝取是屬於三段五級預防措施的何項層級？",{"A":14,"B":15,"C":16,"D":17},"第一級","第二級","第三級","第四級","B",null,[],"本題考點在三段五級預防的層級歸屬。三段五級中，初段預防含第一級健康促進與第二級特殊保護，次段預防含第三級早期診斷治療與第四級限制殘障，三段預防為第五級復健。孕期加強葉酸攝取的目的是針對胎兒神經管缺陷提供專一性的預防保護，屬於在疾病發生前對特定對象採取的特殊保護措施，對應第二級，故選 B。A 第一級健康促進指均衡營養、衛教等一般性健康提升，並非針對特定疾病的專一保護。C 第三級與 D 第四級皆屬疾病已發生後的診療與失能限制，與孕期預防先天缺陷的時機不符，故排除。關鍵在於「特定疾病的事前專一保護＝第二級」。","三段五級可用時序記憶：發病「前」為初段（健康促進、特殊保護）、發病「初」為次段（早期診斷治療、限制殘障）、發病「後」為三段（復健）。特殊保護的典型例子包含疫苗接種、葉酸補充、加氟與職業防護具，均屬對特定危害的專一防護。可連結 Leavell 與 Clark 預防醫學架構延伸複習。",[24,27,30,33],{"term":25,"count":26},"三段五級預防",27,{"term":28,"count":29},"特殊保護",10,{"term":31,"count":32},"第二級預防",1,{"term":34,"count":32},"葉酸與神經管缺陷",[36,40,45,49,54,59],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-109-2-psychiatric-community-043","某城市的生命統計指標顯示，粗出生率為 16‰，遷入率為 24‰，粗死亡率為 4‰，遷出率為 14‰，其社會增加率為何？",43,{"webId":41,"stem":42,"number":43,"year":44,"session":32},"nurse-110-1-psychiatric-community-059","下列何種衛生教育方法最能快速讓民眾了解流感預防的相關知識？",59,110,{"webId":46,"stem":47,"number":48,"year":44,"session":10},"nurse-110-2-psychiatric-community-073","有關聯合國對於人口老化的敘述，下列何者最不適當？",73,{"webId":50,"stem":51,"number":52,"year":53,"session":32},"nurse-112-1-psychiatric-community-031","有關提供老年人睡眠問題的護理指導，下列何者錯誤？",31,112,{"webId":55,"stem":56,"number":57,"year":58,"session":32},"nurse-113-1-psychiatric-community-025","吳先生，因住院期間多次企圖割腕自殺，必須採取保護約束之措施。有關約束處置之敘述，下列何者最不適當？",25,113,{"webId":60,"stem":61,"number":62,"year":63,"session":10},"nurse-114-2-psychiatric-community-019","有關老年憂鬱症的敘述，下列何者錯誤？",19,114,"2026-09-04",1788510718222]