[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-110-1-psychiatric-community-077":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":32,"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":10},"nurse-110-1-精神科與社區衛生護理學-077","nurse-110-1-psychiatric-community-077",110,1,77,"李先生是高血壓個案，喜愛從事的休閒活動包括：①洗三溫暖 ②打太極拳 ③舉重訓練 ④游泳，社區護理師應建議他避免那些活動？",{"A":14,"B":15,"C":16,"D":17},"①②","①③","②④","③④","B",null,[],"本題考點是高血壓個案的休閒運動選擇與血壓反應的關係。考點在於辨識會使血壓劇烈波動的活動：①洗三溫暖使身體暴露於高溫與冷熱交替，造成周邊血管急遽舒縮、心臟負荷增加；③舉重訓練屬等長性阻力運動，會誘發努責動作（Valsalva manoeuvre）使胸內壓上升、血壓瞬間飆高，兩者對高血壓者皆宜避免。②太極拳與④游泳屬節律性有氧運動，能穩定降血壓，適合從事。故應避免①③，選 B。","運動處方對高血壓的原則是『選有氧、避等長、防努責』。等長（isometric）運動如舉重、憋氣用力，會經 Valsalva 使胸腔內壓上升、靜脈回流受阻，放鬆瞬間血壓反彈易誘發腦血管事件；有氧（aerobic）如游泳、快走、太極可降低週邊阻力、改善內皮功能。三溫暖的風險在溫度驟變引發自律神經與血管張力劇烈變化。記憶：『飆壓靠憋氣、降壓靠有氧』。",[24,26,28,30],{"term":25,"count":10},"高血壓運動處方",{"term":27,"count":10},"等長運動與努責動作",{"term":29,"count":10},"有氧運動降壓",{"term":31,"count":10},"溫度驟變血管反應",[33,37,42,47,52,58],{"webId":34,"stem":35,"number":36,"year":9,"session":10},"nurse-110-1-psychiatric-community-078","下列何者屬於低升糖指數（glycemic index）食物？①小麥片 ②全麥麵包 ③山藥 ④地瓜 ⑤糙米飯 ⑥南瓜",78,{"webId":38,"stem":39,"number":40,"year":41,"session":10},"nurse-111-1-psychiatric-community-014","對慢性思覺失調症且功能退化病人的照護，護理師指導家屬的照護病人的措施，下列何者正確？ ①直接幫病人做日常生活上的照顧，又快又好 ②宜採漸進式訓練 ③需要耐性予以接納與訓練 ④配合獎賞引發學習動機",14,111,{"webId":43,"stem":44,"number":45,"year":41,"session":46},"nurse-111-2-psychiatric-community-028","有關物質使用障礙症個案的追蹤輔導的敘述，下列何者錯誤？",28,2,{"webId":48,"stem":49,"number":50,"year":51,"session":46},"nurse-112-2-psychiatric-community-066","根據內政部對獨居老人之界定標準，下列何者符合？①70 歲個案喪偶，與心理年齡未滿 3 歲的成年女兒同住 ②70 歲個案與小 4 歲的太太同住，獨子結婚定居國外 ③70 歲個案喪偶和獨子同住，該子每週二和三因工作出差不在家",66,112,{"webId":53,"stem":54,"number":55,"year":56,"session":57},"nurse-113-3-psychiatric-community-040","依據杜瓦爾及米勒（Duvall & Miller）的家庭發展階段理論，有關生育期家庭（early childbearing family）之發展任務，下列何者最不適當？",40,113,3,{"webId":59,"stem":60,"number":61,"year":62,"session":10},"nurse-115-1-psychiatric-community-034","依據三段五級概念，下列那一項屬於第一級的預防措施？",34,115,"2026-09-04",1788510723159]