[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-109-2-psychiatric-community-064":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"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-109-2-精神科與社區衛生護理學-064","nurse-109-2-psychiatric-community-064",109,2,64,"有關更年期婦女骨質疏鬆危險因子的敘述，下列何者較不適當？",{"A":14,"B":15,"C":16,"D":17},"過度防曬","動情激素濃度低","體位過重","缺乏運動","C",null,[],"本題考點是更年期婦女骨質疏鬆的危險因子辨識。依骨代謝生理，體重負荷會刺激成骨、增加骨密度，故體位過重反而具保護作用，並非骨質疏鬆的危險因子，最不適當者為 C「體位過重」，正解 C。考點在於分辨哪些屬「促進骨流失」、哪些屬「保護骨骼」。A「過度防曬」使皮膚合成維生素 D 不足、影響鈣吸收，是危險因子故非答案。B「動情激素濃度低」是更年期骨鬆主因，雌激素下降加速蝕骨細胞活性，屬危險因子故非答案。D「缺乏運動」減少骨骼機械性刺激而降低骨密度，屬危險因子故非答案。因此體位過重與其他選項方向相反，是最不適當的危險因子。","更年期骨鬆機轉核心:雌激素下降→抑制蝕骨細胞的作用消失→骨吸收>骨生成→骨量流失。危險因子可歸為「鈣與維生素 D 不足、雌激素缺乏、缺乏負重運動、抽菸酗酒、體重過輕」。體重過重雖對代謝不利，但對骨密度而言因負重刺激反具保護性，是命題常設的反向陷阱。延伸可複習 DEXA 骨密度 T 值判讀。",[24,27,29,32],{"term":25,"count":26},"骨質疏鬆危險因子",3,{"term":28,"count":26},"負重運動",{"term":30,"count":31},"雌激素缺乏",1,{"term":33,"count":31},"維生素D與鈣吸收",[35,39,43,48,53,58],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-109-2-psychiatric-community-065","關於口服避孕藥的敘述，下列何者正確？",65,{"webId":40,"stem":41,"number":31,"year":42,"session":10},"nurse-110-2-psychiatric-community-001","依據現行精神衛生法規定，嚴重病人不遵從醫囑導致病情不穩或生活功能有退化之虞，經強制社區治療審查會決定許可強制社區治療，此次嚴重病人在接受強制社區治療期間，不能超過多久？",110,{"webId":44,"stem":45,"number":46,"year":47,"session":31},"nurse-111-1-psychiatric-community-015","根據 DSM-5 診斷準則，經期前情緒低落症（Premenstrual Dysphoric Disorder）的症狀，下列何者最不適當？",15,111,{"webId":49,"stem":50,"number":51,"year":52,"session":31},"nurse-112-1-psychiatric-community-053","有關社區健康營造的主要精神，下列何者較不適宜？",53,112,{"webId":54,"stem":55,"number":56,"year":57,"session":31},"nurse-113-1-psychiatric-community-047","陳女士，喪偶，罹患中度失智症，與兒女同住但平日兒女需上班。下列何項長照服務應優先建議？",47,113,{"webId":59,"stem":60,"number":61,"year":62,"session":10},"nurse-114-2-psychiatric-community-041","利用高濃度的食鹽或砂糖保存食物，屬於何種保存法？",41,114,"2026-09-04",1788510718425]