[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-109-2-psychiatric-community-076":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-109-2-精神科與社區衛生護理學-076","nurse-109-2-psychiatric-community-076",109,2,76,"周先生近日痛風頻繁發作，社區護理師進行家訪衛教，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"多攝取豆苗、蘑菇等新鮮蔬菜","避免飲用啤酒","每日飲水 2,000 mL 以上","定期檢查腎功能","A",null,[],"本題考點是痛風飲食衛教的普林(purine)控制原則。依痛風飲食指引，豆苗、蘑菇(菇類)、乾豆類等屬中高普林食物，攝取過多會升高血中尿酸而誘發痛風，故「多攝取豆苗、蘑菇」的衛教錯誤，正解 A。考點在於辨識高普林來源與正確的生活型態指導。B「避免飲用啤酒」正確，酒精尤其啤酒會增加尿酸生成並抑制排泄故非答案。C「每日飲水 2,000 mL 以上」正確，充足水分有助尿酸排泄故非答案。D「定期檢查腎功能」正確，痛風與高尿酸易影響腎臟需監測故非答案。因此鼓勵多吃高普林蔬菜的敘述與痛風飲食原則相違，是錯誤衛教。","普林分級記憶:高普林=內臟、濃肉湯、部分海鮮(沙丁魚、貝類)、酒精(尤其啤酒)、乾豆、部分菇類與菜苗;低普林=多數蔬果、蛋、乳製品。急性發作期宜嚴格限普林、多喝水(>2000 mL)促尿酸排泄、避免酒精與果糖飲料。豆苗與菇類是常被誤以為「蔬菜就安全」的陷阱食物，普林含量偏高需留意。",[24,27,29,31],{"term":25,"count":26},"痛風飲食",1,{"term":28,"count":26},"普林含量",{"term":30,"count":26},"高普林蔬菜",{"term":32,"count":26},"尿酸排泄",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-109-2-psychiatric-community-077","有關慢性病的特性，下列何者錯誤？",77,{"webId":39,"stem":40,"number":41,"year":42,"session":10},"nurse-110-2-psychiatric-community-013","初次入住精神科急性病房的李先生，擔心醫院伙食被人下毒，有被害妄想不願意用餐，下列何者護理措施最適當？",13,110,{"webId":44,"stem":45,"number":46,"year":47,"session":26},"nurse-111-1-psychiatric-community-027","有關海洛因中毒症狀的敘述，下列何者錯誤？",27,111,{"webId":49,"stem":50,"number":51,"year":52,"session":26},"nurse-112-1-psychiatric-community-065","檢驗飲水及食物是否受到糞便污染的生物指標，下列何者正確？",65,112,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-113-2-psychiatric-community-009","提供躁症發作（manic episode）病人的住院環境，下列考量何者較為適宜？①環境簡化，壁飾窗簾都應避免 ②家具擺放避免病人跌撞或暴力破壞 ③提供能消耗體力的活動與設施 ④病房伙食準備高熱量簡便食物",9,113,{"webId":59,"stem":60,"number":61,"year":62,"session":61},"nurse-114-3-psychiatric-community-003","依據環境治療原則，在精神科病房公共區域懸掛日曆及時鐘的主要目的，下列何者最適當？",3,114,"2026-09-04",1788510718531]