[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-110-2-psychiatric-community-049":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"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-110-2-精神科與社區衛生護理學-049","nurse-110-2-psychiatric-community-049",110,2,49,"某職場對 460 名員工進行糞便潛血篩檢，結果呈現陽性反應的有 80 名，此 80 名員工到醫院進一步檢查確診為大腸直腸癌為 30 名，另對陰性反應者 380 名進行確認，350 名確認為無大腸直腸癌，關於此疾病篩檢何者正確？",{"A":14,"B":15,"C":16,"D":17},"敏感度（sensitivity）為 37.5%","特異性（specificity）為 87.5%","偽陽性率（false positive rate）為 50.0%","偽陰性率（false negative rate）為 12.5%","B",null,[],"本題考點在篩檢工具的效度指標計算。考點在於依 2×2 表：真陽性 30、偽陽性 50（80－30）、真陰性 350、偽陰性 30（380－350）。特異性＝真陰性÷（真陰性＋偽陽性）＝350÷400＝87.5%，選項 B 正確，故選 B。選項 A 敏感度應為 30÷（30＋30）＝50%，非 37.5%；選項 C 偽陽性率＝50÷400＝12.5%，非 50%；選項 D 偽陰性率＝30÷60＝50%，非 12.5%，故皆為錯誤數值。","建 2×2 表是關鍵：欄為真實疾病有無、列為篩檢陽陰。敏感度＝真陽性率（抓得出病人）、特異性＝真陰性率（排得掉健康者），兩者分母分別是真正有病、真正無病者。偽陽性率＝1－特異性、偽陰性率＝1－敏感度。記憶口訣：Sensitivity 分母是病人（PID），Specificity 分母是健康人。可連結概念：篩檢效度、陽性預測值、盛行率影響 PPV。",[24,26,28,31],{"term":25,"count":10},"特異性 specificity",{"term":27,"count":10},"敏感度 sensitivity",{"term":29,"count":30},"篩檢效度",1,{"term":32,"count":30},"2x2 列聯表",[34,38,43,47,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-110-2-psychiatric-community-050","有關病毒性腸胃炎之敘述，下列何者正確？",50,{"webId":39,"stem":40,"number":41,"year":42,"session":30},"nurse-111-1-psychiatric-community-066","某公司工作現場環境測定後，報告中出現 8 小時日時量平均容許濃度（time weighted average, TWA）是代表什麼意思？",66,111,{"webId":44,"stem":45,"number":46,"year":42,"session":10},"nurse-111-2-psychiatric-community-080","有關中老年慢性病個案管理的目標，下列何者最不適當？",80,{"webId":48,"stem":49,"number":50,"year":51,"session":52},"nurse-112-3-psychiatric-community-038","某學校學生在校吃完中餐，多人在 2～4 小時後發生噁心、嘔吐、腹瀉等症狀，經送醫後醫療院所推論為食物中毒。下列敘述何者最不適當？",38,112,3,{"webId":54,"stem":55,"number":56,"year":57,"session":30},"nurse-114-1-psychiatric-community-042","42歲王太太的姐姐被診斷乳癌，為此王太太感到煩惱和擔憂。下列護理指導何者最適當？①乳癌的危險因子，包括初經較晚、停經較早、高脂肪飲食等     ②40歲以上至未滿45歲具有乳癌家族史的女性每年一次免費乳房X光攝影檢查   ③建議王太太多運動、少進食高脂肪食物、心情放鬆和減低壓力等",42,114,{"webId":59,"stem":60,"number":61,"year":62,"session":10},"nurse-115-2-psychiatric-community-036","陳先生的膽固醇 255 mg\u002FdL、糖化血色素（HbA1c）8%，經就醫治療，加上運動及飲食調配，目前狀況穩定。陳先生說「我知道我可以做到，並且達到降低膽固醇及血糖回復到正常值目標」。根據 Pender 健康促進模式，是符合何項評估要素？",36,115,"2026-09-04",1788510730932]