[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-110-2-psychiatric-community-067":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"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":26},"nurse-110-2-精神科與社區衛生護理學-067","nurse-110-2-psychiatric-community-067",110,2,67,"社區護理師提供更年期婦女骨質疏鬆防治措施，下列何者最不適當？",{"A":14,"B":15,"C":16,"D":17},"建立正確的預防骨質疏鬆知識","鼓勵使用傳統荷爾蒙替代療法","鼓勵充分日曬及負重運動","鼓勵多攝取深綠色蔬菜","B",null,[],"本題考點為更年期骨質疏鬆防治的衛教正確性，須選「最不適當」者。依現行骨鬆防治指引，荷爾蒙替代療法雖能減緩停經後骨流失，但因會增加乳癌、心血管與血栓風險，已不再作為骨鬆的常規建議療法，故「鼓勵使用傳統荷爾蒙替代療法」最不適當，選 B。A 建立正確預防知識屬健康促進基礎，C 充分日曬可促進維生素 D 合成、負重運動能刺激造骨，D 深綠色蔬菜富含鈣與維生素 K，皆為正確的非藥物防治措施。骨鬆防治首重鈣質、維生素 D、負重運動與生活型態，荷爾蒙療法應個別評估風險後謹慎使用而非普遍鼓勵。","停經後雌激素下降使破骨細胞活性大於造骨細胞，導致骨質快速流失。荷爾蒙替代療法（HRT）在 WHI 研究後因乳癌與心血管風險上升而定位大幅保守化，僅用於特定適應症且非骨鬆第一線。記憶框架：骨鬆防治「三本柱」——鈣＋維生素 D、負重運動、避免菸酒；藥物則以雙磷酸鹽類為主。凡看到「普遍鼓勵荷爾蒙」常是陷阱選項。維生素 D 需日曬合成、維生素 K 助骨鈣化，可一併記入深綠蔬菜的益處。",[24,27,29,32],{"term":25,"count":26},"負重運動",3,{"term":28,"count":10},"荷爾蒙替代療法風險",{"term":30,"count":31},"骨質疏鬆防治",1,{"term":33,"count":31},"維生素 D 與鈣",[35,39,44,49,54,59],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"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":40,"stem":41,"number":42,"year":43,"session":10},"nurse-111-2-psychiatric-community-004","精神科醫師伯恩（Eric Berne）在溝通分析中，將人與人互動時彼此的人生地位分為四種型式。下列何者敘述屬於「我好－你不好型」？",4,111,{"webId":45,"stem":46,"number":47,"year":48,"session":31},"nurse-112-1-psychiatric-community-018","有關思覺失調症病人之負性精神症狀，下列何者最適切？",18,112,{"webId":50,"stem":51,"number":52,"year":53,"session":31},"nurse-113-1-psychiatric-community-006","汪小姐剛入住急性精神科病房，覺得門把骯髒，都使用紙張包覆才願意轉動把手，下列何項護理措施最適宜？",6,113,{"webId":55,"stem":56,"number":57,"year":58,"session":10},"nurse-114-2-psychiatric-community-010","有關妄想症患者（delusional disorder）之敘述，下列何者最適當？",10,114,{"webId":60,"stem":61,"number":42,"year":62,"session":31},"nurse-106-1-psychiatric-community-004","下列有關精神障礙病人的權利，何者正確？",106,"2026-09-04",1788510731110]