[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-111-1-psychiatric-community-002":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":37,"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-111-1-精神科與社區衛生護理學-002","nurse-111-1-psychiatric-community-002",111,1,2,"社區內舉辦新手媽媽講座，教導懷孕的身心變化相關課程，是屬於精神心理衛生工作中的那一級的預防？",{"A":14,"B":15,"C":16,"D":17},"初級預防","次級預防","三級預防","各級皆涵蓋","A",null,[],"本題考點為精神衛生三級預防的層級判斷。依 Caplan 預防醫學架構，初級預防指在疾病或問題「尚未發生」前，透過衛教、增能與危險因子控制來降低發生率。社區為懷孕婦女舉辦身心變化講座，對象是尚未出現心理問題的健康族群，屬預防問題發生的健康促進，故為初級預防，選 A。B 次級預防著重早期篩檢與早期治療已出現的問題，講座並非篩檢。C 三級預防針對已患病者的復健與減少失能，對象不符。D 各級皆涵蓋則過度擴張，本活動性質明確屬初級。","Caplan 的三級預防在精神衛生的對應：初級預防降低發生率，手段如壓力調適教育、親職課程、危機預防；次級預防降低盛行率，手段如自殺風險篩檢、產後憂鬱量表早期偵測與早期介入；三級預防降低失能與復發，手段如社區復健、職能訓練、日間照護。判斷關鍵在「對象處於疾病自然史的哪一階段」：對健康孕婦的預防教育屬病前介入。可連結產後憂鬱、周產期心理健康與社區心理衛生中心的服務層級，此為社區衛生護理高頻考點。",[24,27,29,31,34],{"term":25,"count":26},"健康促進",17,{"term":14,"count":28},5,{"term":30,"count":28},"社區心理衛生",{"term":32,"count":33},"疾病自然史",4,{"term":35,"count":36},"Caplan 三級預防",3,[38,41,45,50,55,60],{"webId":39,"stem":40,"number":36,"year":9,"session":10},"nurse-111-1-psychiatric-community-003","下列何者最符合現行精神衛生法所規範的精神病人之保護及權益保障？",{"webId":42,"stem":43,"number":44,"year":9,"session":11},"nurse-111-2-psychiatric-community-019","王小姐，與男朋友分手後，出現被跟蹤的感覺，身邊沒有人時卻聽到有人跟她說話，害怕到無法外出工作，且上述症狀持續 1 個月以上。依據 DSM-5 診斷準則，下列何者是王小姐最可能的診斷？",19,{"webId":46,"stem":47,"number":48,"year":49,"session":10},"nurse-112-1-psychiatric-community-033","有關災難照護中資源保護理論，下列敘述何者最適宜？",33,112,{"webId":51,"stem":52,"number":53,"year":54,"session":10},"nurse-113-1-psychiatric-community-021","孫先生於精神科病房出院後，規則服藥，病情穩定，但面臨經濟困境及就業需求。護理師為協助其發展經濟及就業，必須具有下列何項實務能力？",21,113,{"webId":56,"stem":57,"number":58,"year":59,"session":11},"nurse-114-2-psychiatric-community-025","小美與父親在大地震中雙雙遭震垮的房屋壓住，父親當場不幸過世，小美經過急救後，挽回性命，但雙腿截肢。有關災難倖存者在急性期的反應表現，下列何者最不適當？",25,114,{"webId":61,"stem":62,"number":44,"year":63,"session":10},"nurse-106-1-psychiatric-community-019","丁小姐使用鋰鹽治療，血中鋰鹽濃度已達到 1.2 mEq\u002FL，護理師應優先採取下列何項措施？",106,"2026-09-04",1788510736121]