[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-109-2-psychiatric-community-065":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"lastmod":62},"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-065","nurse-109-2-psychiatric-community-065",109,2,65,"關於口服避孕藥的敘述，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"通常為 1 個月份 30 粒裝","在月經來潮第 5 天開始服用","計劃懷孕時，應停藥 1 個月後再懷孕","其原理是促進子宮內膜增生","B",null,[],"本題考點是口服避孕藥的服用時機與作用原理。依複合口服避孕藥的建議，於月經來潮第 5 天開始服用可確保週期已無排卵風險並建立規律，故正解為 B。考點在於掌握起始時機與藥理機轉。A「1 個月份 30 粒裝」錯誤，常見為 21 粒(停 7 天)或 28 粒(含 7 粒安慰劑)包裝，非 30 粒故排除。C「計劃懷孕應停藥 1 個月後再懷孕」的絕對說法不符現行認知，停藥後恢復排卵即可備孕，並非固定須停一個月故排除。D「原理是促進子宮內膜增生」錯誤，避孕藥主要透過抑制排卵、改變子宮頸黏液與內膜使其不利著床，並非促進內膜增生故排除。因此第 5 天開始服用為正確敘述。","複合口服避孕藥三重機轉:抑制下視丘—腦垂體軸而抑制排卵(主要)、增稠子宮頸黏液阻精蟲、使子宮內膜變薄不利著床。包裝設計 21+7 或 28 顆對應一個月經週期。起始時機以月經前 5 天內開始最能立即涵蓋避孕。命題常以「促進內膜增生」誤導，須記得它是「使內膜不利著床」才對。",[24,27,29,31],{"term":25,"count":26},"口服避孕藥",1,{"term":28,"count":26},"抑制排卵機轉",{"term":30,"count":26},"服用時機",{"term":32,"count":26},"子宮內膜變化",[34,38,42,47,52,57],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-109-2-psychiatric-community-066","有關兒童視力保健方法的敘述，下列何者最適當？",66,{"webId":39,"stem":40,"number":10,"year":41,"session":10},"nurse-110-2-psychiatric-community-002","有關症狀穩定且日常生活可自理的精神病人，剛轉入康復之家，首要的復健目標為何？",110,{"webId":43,"stem":44,"number":45,"year":46,"session":26},"nurse-111-1-psychiatric-community-016","林先生因為雙相情緒障礙症（Bipolar Disorder）躁症發作住院，主要治療藥物為鋰鹽、carbamazepine （Tegretol ® ）。護理師發現林先生顯得倦怠、無力，緊急抽血鋰鹽濃度為 0.8 mEq\u002FL、Na 為 120 mEq\u002FL。下列何項護理措施最適當？",16,111,{"webId":48,"stem":49,"number":50,"year":51,"session":26},"nurse-112-1-psychiatric-community-054","社區護理師推動「社區營養推廣中心」的服務後，發現參與者健康飲食習慣的比率增加，這是屬於下列何種評價？",54,112,{"webId":53,"stem":54,"number":55,"year":56,"session":26},"nurse-113-1-psychiatric-community-048","陳女士中風後，可使用助行器在家中行走，但上下樓梯與洗澡需要有人部分協助。根據長期照顧十年計畫 2.0，其符合申請下列那些補助？①居家復能 ②居家服務 ③交通接送 ④居家護理",48,113,{"webId":58,"stem":59,"number":60,"year":61,"session":10},"nurse-114-2-psychiatric-community-042","新住民阮氏於兩週前抵達臺灣，不諳國語，懷孕已六週，尚未做產前檢查。有關護理師提供之護理指導，下列何者最不適當？",42,114,"2026-09-04",1788510718430]