[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-110-2-psychiatric-community-078":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"lastmod":62},"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-078","nurse-110-2-psychiatric-community-078",110,2,78,"糖尿病病人經常出現血管與神經病變，需定期進行併發症篩檢，下列何者不屬於糖尿病併發症篩檢項目？",{"A":14,"B":15,"C":16,"D":17},"視網膜檢查","尿蛋白檢查","胎兒甲型蛋白（α-fetoprotein, AFP）檢查","足踝神經檢查","C",null,[],"本題考點為糖尿病慢性併發症的定期篩檢項目，須選「不屬於」者。糖尿病長期高血糖會造成微血管與神經病變，故標準併發症篩檢包含視網膜病變（眼底檢查）、糖尿病腎病變（尿蛋白／微量白蛋白尿）與周邊神經病變（足踝神經檢查）。選項 C 甲型胎兒蛋白（AFP）是肝癌與胎兒神經管缺陷的腫瘤／產科標記，與糖尿病併發症無關，選 C。A 視網膜檢查、B 尿蛋白檢查、D 足踝神經檢查皆為糖尿病照護指引明列的例行篩檢，用以早期發現眼、腎、足部病變。","糖尿病併發症可用「大血管、小血管、神經」三分類記憶：小血管病變＝視網膜病變＋腎病變（尿蛋白），神經病變＝周邊感覺喪失（足部照護重點，易致糖尿病足潰瘍）。故篩檢對應眼底、尿蛋白、足部感覺（單股尼龍纖維測試）。AFP 屬肝癌與唐氏症／神經管缺陷的標記，與糖尿病無關，是典型的張冠李戴陷阱。可連結糖化血色素（HbA1c）作為血糖控制指標，與併發症篩檢並行。",[24,26,29,31],{"term":25,"count":10},"周邊神經病變",{"term":27,"count":28},"糖尿病慢性併發症",1,{"term":30,"count":28},"視網膜與腎病變篩檢",{"term":32,"count":28},"甲型胎兒蛋白",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-110-2-psychiatric-community-079","王老先生向社區護理師主訴他最近常提不起精神、感覺無力、不想出門、體重也減輕，下列護理師的處置何者最不適當？",79,{"webId":39,"stem":40,"number":41,"year":42,"session":10},"nurse-111-2-psychiatric-community-015","關於認知行為治療技巧的敘述，下列何者最適當？",15,111,{"webId":44,"stem":45,"number":46,"year":47,"session":28},"nurse-112-1-psychiatric-community-029","有關智能不足的治療原則與預後，下列何者正確？",29,112,{"webId":49,"stem":50,"number":51,"year":52,"session":28},"nurse-113-1-psychiatric-community-017","有關物質使用障礙症成因之敘述，下列何者錯誤？",17,113,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-114-2-psychiatric-community-021","有關協助精神病人復元的概念敘述，下列何者錯誤？",21,114,{"webId":59,"stem":60,"number":41,"year":61,"session":28},"nurse-106-1-psychiatric-community-015","陳先生，32 歲，罹患思覺失調症（schizophrenia）已 6 年，入院時顯得散漫，不願意參加病房活動，下列那一項護理措施最適合？",106,"2026-09-04",1788510731201]