[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-110-1-psychiatric-community-051":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":35,"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-110-1-精神科與社區衛生護理學-051","nurse-110-1-psychiatric-community-051",110,1,51,"社區護理師排定社區健康問題的順序時，下列何者應優先處理？",{"A":14,"B":15,"C":16,"D":17},"社區老人對用藥安全認知不足","社區發現 5 位麻疹個案","社區婦女參與子宮頸抹片檢查意願不高","社區體重控制相關資源不足","B",null,[],"本題考點為社區健康問題優先次序的排定原則。考點在於依問題的嚴重度、急迫性、影響範圍與可介入性綜合判斷，其中具傳染擴散風險、若延遲處理將危及群體健康的急性傳染病，通常享有最高優先。社區出現 5 位麻疹個案屬高傳染力的法定傳染病聚集，需即刻介入以阻斷擴散，故 B 應優先處理。A 用藥安全認知不足、C 抹片受檢意願不高、D 體重控制資源不足，皆屬慢性或衛教層面問題，急迫性與立即危害性均低於傳染病群聚，故次之。","排序常用準則含 Hanlon 模式（問題大小、嚴重度、介入有效性）與急迫性判斷；實務口訣是「救急先於治慢、傳染先於慢病、危及生命先於促進健康」。麻疹傳染力極強（基本再生數 R0 高達 12–18），一旦群聚極易爆發流行，屬須即時通報與圍堵的第二類法定傳染病，故壓倒性優先。慢性病衛教與資源建置雖重要，但時間敏感度低、可從容規劃。抓住「急性傳染病群聚＝最優先」這條主軸，優先次序題多能迎刃而解。",[24,27,29,31,33],{"term":25,"count":26},"急迫性原則",2,{"term":28,"count":10},"社區健康問題優先次序",{"term":30,"count":10},"法定傳染病",{"term":32,"count":10},"麻疹群聚",{"term":34,"count":10},"Hanlon排序模式",[36,40,44,48,53,59],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-110-1-psychiatric-community-052","依據 Anderson 和 McFarlane（2008）以社區為夥伴模式進行社區評估，下列敘述何者錯誤？",52,{"webId":41,"stem":42,"number":43,"year":9,"session":26},"nurse-110-2-psychiatric-community-068","回教信仰的新住民產婦拒吃婆婆煮的麻油豬肝，引起婆婆不悅，下列護理措施何者最適當？",68,{"webId":45,"stem":46,"number":26,"year":47,"session":26},"nurse-111-2-psychiatric-community-002","精神復健機構的資深護理師協助病人接受「強制社區治療」的工作項目中，下列何者正確？①藥物治療 ②藥物之依賴性評估 ③藥物之血液檢驗 ④藥物之尿液濃度檢驗 ⑤酒精篩檢 ⑥放射性藥物檢驗",111,{"webId":49,"stem":50,"number":51,"year":52,"session":26},"nurse-112-2-psychiatric-community-040","承上題，王先生服用 clozapine 藥物時，下列何者為首要健康風險控制預防措施？",40,112,{"webId":54,"stem":55,"number":56,"year":57,"session":58},"nurse-113-3-psychiatric-community-014","王女士，遭遇嚴重土石流而家園全毀，倖存後診斷為創傷後壓力症（posttraumatic stress disorder），下列敘述何者最不適切？",14,113,3,{"webId":60,"stem":61,"number":62,"year":63,"session":10},"nurse-115-1-psychiatric-community-008","有關家庭結構評估，下列何者屬於內在結構？",8,115,"2026-09-04",1788510722917]