[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-109-2-psychiatric-community-079":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-079","nurse-109-2-psychiatric-community-079",109,2,79,"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？",{"A":14,"B":15,"C":16,"D":17},"酮體","血糖","糖化血色素","紅血球生成素","C",null,[],"本題考點是反映長期血糖控制的血液指標。依生化原理，糖化血色素(HbA1c)是葡萄糖與紅血球血紅素非酶性結合的產物，因紅血球壽命約 120 天，故可反映近 2～3 個月的平均血糖，是評估長期血糖控制的指標，正解 C。考點在於區分即時值與長期平均值。A「酮體」反映脂肪分解、酸中毒狀態，屬急性代謝指標非長期血糖故排除。B「血糖」為抽血當下的即時濃度，僅反映瞬間狀態非長期趨勢故排除。D「紅血球生成素」是刺激紅血球生成的荷爾蒙，與血糖控制無關故排除。因此糖化血色素為評估長期血糖控制的正確指標。","HbA1c 反映約 2～3 個月平均血糖，因紅血球壽命約 120 天而具回溯性;糖尿病控制目標一般為 \u003C7%。須注意會造成偏誤的情況:貧血、溶血、近期輸血、慢性腎病與血紅素變異型皆可能干擾判讀。可對比果糖胺(反映 2～3 週)與即時血糖、飯後血糖，理解各指標涵蓋的時間窗差異。",[24,27,29,31],{"term":25,"count":26},"糖化血色素HbA1c",1,{"term":28,"count":26},"長期血糖控制",{"term":30,"count":26},"紅血球壽命",{"term":32,"count":26},"血糖監測指標",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-109-2-psychiatric-community-080","張老太太是中度失智症個案，近日家屬對個案常尿濕褲子而困擾，有關社區護理師的護理指導，下列何者最適當？",80,{"webId":39,"stem":40,"number":41,"year":42,"session":10},"nurse-110-2-psychiatric-community-016","林小姐入院診斷為憂鬱症，常向護理師表示自己做錯事害得父母離婚，又因為自己不夠好，所以男友跟她分手。下列何項回應最適當？",16,110,{"webId":44,"stem":45,"number":46,"year":47,"session":26},"nurse-111-1-psychiatric-community-030","有關注意力不足／過動症（ADHD）的治療原則，下列何者最不適當？",30,111,{"webId":49,"stem":50,"number":51,"year":52,"session":26},"nurse-112-1-psychiatric-community-068","設置免費注射器與回收盒及保險套供應箱，是屬於三段五級預防的那一層次？",68,112,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-113-2-psychiatric-community-012","根據 DSM-5 診斷準則，有關第一型雙相情緒障礙症（bipolar disorder）之鬱症（major depressive episode）症狀，不包括下列何項？",12,113,{"webId":59,"stem":60,"number":61,"year":62,"session":63},"nurse-114-3-psychiatric-community-006","有關抗焦慮藥戒斷症狀，下列何者正確？",6,114,3,"2026-09-04",1788510718567]