[{"data":1,"prerenderedAt":68},["ShallowReactive",2],{"q-nurse-110-1-psychiatric-community-047":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":37,"lastmod":67},"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-110-1-精神科與社區衛生護理學-047","nurse-110-1-psychiatric-community-047",110,1,47,"有關愛滋病的三段五級防治原則，下列敘述何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"初段預防：與愛滋病人討論家庭計畫或育兒計畫","初段預防：鼓勵孕婦接受產前檢查","次段預防：鼓勵伴侶接受檢驗","三段預防：使用抗愛滋病毒藥物組合的「雞尾酒療法」","B",null,[],"本題考點為愛滋病三段五級預防的層級歸屬。三段預防中，初段（第一、二級）著重健康促進與特殊保護、次段（第三級）為早期診斷與治療、三段（第四、五級）為限制殘障與復健。考點在於辨識鼓勵孕婦接受產前檢查的目的是及早篩檢出感染以阻斷母嬰垂直傳染，屬「早期發現、早期治療」的次段預防，而非初段，故 B 歸類錯誤為本題答案。A 討論家庭計畫屬健康促進之初段、C 鼓勵伴侶檢驗屬早期發現之次段、D 雞尾酒療法屬治療與限制殘障之三段，歸類皆正確。","三段五級最易混淆處在「檢查／篩檢」的歸屬：以健康人衛教、諮商、避免暴露為目的者屬初段；以找出已感染者為目的的篩檢、產前 HIV 檢驗、伴侶追蹤檢驗則一律歸次段。判準是問「這動作是要防止發生，還是要抓出已發生」。雞尾酒療法（HAART）雖屬治療，但因其兼具降低病毒量、減少併發與延緩失能，故國考多歸三段之限制殘障。抓住「產前檢查＝篩檢＝次段」這條線，即可揪出 B 的錯置。",[24,27,30,33,35],{"term":25,"count":26},"三段五級預防",27,{"term":28,"count":29},"初段預防",6,{"term":31,"count":32},"次段預防",2,{"term":34,"count":10},"母嬰垂直傳染",{"term":36,"count":10},"雞尾酒療法HAART",[38,42,46,51,56,62],{"webId":39,"stem":40,"number":41,"year":9,"session":10},"nurse-110-1-psychiatric-community-048","下列那些疾病是由病毒引起？①登革熱 ②日本腦炎 ③霍亂 ④麻疹",48,{"webId":43,"stem":44,"number":45,"year":9,"session":32},"nurse-110-2-psychiatric-community-064","依據 Duvall 的家庭發展階段理論，進行家庭評估主要目的為何？",64,{"webId":47,"stem":48,"number":49,"year":50,"session":10},"nurse-111-1-psychiatric-community-078","有關戒菸的護理指導，下列何者正確？",78,111,{"webId":52,"stem":53,"number":54,"year":55,"session":32},"nurse-112-2-psychiatric-community-036","有關災難護理的敘述，下列何者最不適切？",36,112,{"webId":57,"stem":58,"number":59,"year":60,"session":61},"nurse-113-3-psychiatric-community-010","陳小華，20 歲診斷為思覺失調症，在高中二年級即出現幻聽，常覺得別人在議論他，大家都知道他在想什麼，拒絕與人接觸，不願意上學，自我照顧變差。下列何者屬於正性精神症狀？",10,113,3,{"webId":63,"stem":64,"number":65,"year":66,"session":10},"nurse-115-1-psychiatric-community-004","病人是20歲大學重考生，從小備受呵護寵愛長大，個性內向順從，成績中等。指考失利後，出現心情低落、胃口差、失眠等症狀，醫師診斷為鬱症，住院治療 2 週後，父母認為病人需要重回補習班接受鞭策，因此辦理自動出院，病人出院後出現自殺企圖。下列敘述何者最適宜？",4,115,"2026-09-04",1788510722864]