[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-109-2-psychiatric-community-078":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"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-078","nurse-109-2-psychiatric-community-078",109,2,78,"社區護理師教導民眾測量血壓，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"在沐浴、飲酒、飯後半小時內不要測量","每日固定時間測量","建議穿著寬鬆衣服，衣袖不可太緊","第一次測量需左、右手皆測，爾後以數值較低的手為準","D",null,[],"本題考點是居家血壓測量的衛教，選錯誤者。D方向錯誤：第一次雙手皆測後，爾後應以「數值較高」的那隻手臂為準，因較高側較能反映真實血壓、避免低估風險，而非以數值較低者為準，故D為錯誤敘述，答案D。A沐浴、飲酒、飯後半小時內因血壓易波動不宜測量；B每日固定時間測量利於前後比較；C穿著寬鬆衣物、衣袖不可過緊以免壓迫上臂影響數值，此三者皆正確。故選D。","居家血壓測量原則（可對照台灣高血壓學會722原則：連續7天、早晚各2次、每次量2遍）：初次應量雙臂，若兩臂差異持續存在，往後固定以『讀數較高』的手臂為測量與判讀依據——因較高側通常較貼近中央動脈壓，取較低側會低估而延誤處置（兩臂收縮壓差>15～20 mmHg時另需評估周邊動脈或主動脈病變）。其他要點：測量前休息5分鐘、坐姿背有靠、雙腳平放不翹腳、手臂與心臟同高、袖帶鬆緊適中、避免咖啡因與抽菸、測前排空膀胱。D把『取較高側』說成『取較低側』是典型的方向誘答。",[24,27,29,31],{"term":25,"count":26},"居家血壓測量",1,{"term":28,"count":26},"以較高側手臂為準",{"term":30,"count":26},"測量前情境控制",{"term":32,"count":26},"袖帶與衣袖鬆緊",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-109-2-psychiatric-community-079","下列何項血液檢查可以反映出糖尿病病人長期血糖控制是否良好？",79,{"webId":39,"stem":40,"number":41,"year":42,"session":10},"nurse-110-2-psychiatric-community-015","有關雙相情緒障礙（bipolar disorder）的病因，下列敘述何者正確？",15,110,{"webId":44,"stem":45,"number":46,"year":47,"session":26},"nurse-111-1-psychiatric-community-029","有關於精神疾病診斷準則手冊（Diagnostic and statistical manual of mental disorders, DSM-5）對於「認知障礙症」診斷準則之敘述，下列何者正確？",29,111,{"webId":49,"stem":50,"number":51,"year":52,"session":26},"nurse-112-1-psychiatric-community-067","有關優生保健護理指導，下列何者最適宜？①提醒應定期產檢，並說明目前補助的產前檢查內容 ②孕期第 3 個月前應完成德國麻疹疫苗接種 ③34 歲以上高齡孕婦建議接受羊膜穿刺檢查以診斷胎兒是否有唐氏症 ④應於孕期第 3 個月前接受甲型鏈球菌的篩檢",67,112,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-113-2-psychiatric-community-011","李小姐為躁症發作病人，大夜班護理師查房時發現李小姐跟男病友一起躺在床上，下列護理措施何者較適宜？①觀察兩人的性互動行為程度 ②將兩人分開持續密切觀察 ③鼓勵學習適切的異性互動 ④將李小姐持續隔離，防範接觸異性",11,113,{"webId":59,"stem":60,"number":61,"year":62,"session":63},"nurse-114-3-psychiatric-community-005","有關特定場所畏懼症，下列敘述何者最不適當？",5,114,3,"2026-09-04",1788510718562]