[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-111-1-psychiatric-community-030":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":36,"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-030","nurse-111-1-psychiatric-community-030",111,1,30,"有關注意力不足／過動症（ADHD）的治療原則，下列何者最不適當？",{"A":14,"B":15,"C":16,"D":17},"安排活動以疏導其過多的活動力","活動無法持續時應立即終止，以減少挫折","儘量避免選擇需非常專注的靜態活動","不宜安排過度攻擊的活動，以防造成傷害","B",null,[],"本題考點在 ADHD 的活動安排原則，屬「找最不適當」題。依 ADHD 行為處置原則，活動宜結構化、循序漸進並給予正向鼓勵；B 主張「活動無法持續時應立即終止」，反而剝奪練習與成功經驗、強化半途而廢，最不適當，故選 B。考點在於辨識「以正增強維持專注」而非中斷。A 安排活動疏導過剩精力，符合行為引導原則，適當；C 避免需長時間高度專注的靜態活動，切合注意力短暫特性，適當；D 避免過度攻擊性活動以防受傷，符合安全原則，適當。故最不適當者為 B。","ADHD 涉前額葉多巴胺／正腎上腺素調節不足，導致執行功能與持續性注意力缺損。行為治療原則：任務切小段、清楚指令、立即且頻繁的正增強、減少分心刺激。與其在孩子分心時終止，不如以提示與獎勵協助『回到任務』，累積完成經驗以提升自我效能。環境宜規律、可預期。口訣：ADHD＝『結構化、分段化、正增強、減刺激』，避免懲罰式中斷。",[24,27,30,32,34],{"term":25,"count":26},"正增強",7,{"term":28,"count":29},"行為改變技術",2,{"term":31,"count":29},"結構化活動",{"term":33,"count":10},"注意力不足過動症(ADHD)",{"term":35,"count":10},"執行功能缺損",[37,41,45,50,55,60],{"webId":38,"stem":39,"number":40,"year":9,"session":10},"nurse-111-1-psychiatric-community-031","張先生，80 歲，診斷為阿茲海默症，因情緒激動及焦慮而住院。近日因不明原因發燒、咳嗽有痰不舒服，表示要回家，且對陪同住院媳婦不諒解，故出手打了媳婦一巴掌。下列何者護理措施最適當？",31,{"webId":42,"stem":43,"number":44,"year":9,"session":29},"nurse-111-2-psychiatric-community-047","某社區共有 5,700 位居民運用某子宮頸癌篩檢工具，發現原本 2,500 名子宮頸癌的個案經篩檢後有 500 名呈現陽性，2,000 名呈現陰性；而原本 3,200 健康者經篩檢後有 1,600 名呈現陽性，另 1,600 名呈現陰性結果，此篩檢工具的陽性預測值為何？",47,{"webId":46,"stem":47,"number":48,"year":49,"session":10},"nurse-112-1-psychiatric-community-061","陳先生的成人健檢血液報告呈現總膽固醇=190 mg\u002FdL，低密度膽固醇=135 mg\u002FdL，高密度膽固醇=44 mg\u002FdL。護理師給予的護理指導，下列何項錯誤？",61,112,{"webId":51,"stem":52,"number":53,"year":54,"session":10},"nurse-113-1-psychiatric-community-049","影響長者營養狀況的常見因素，下列何者最不適當？",49,113,{"webId":56,"stem":57,"number":58,"year":59,"session":58},"nurse-114-3-psychiatric-community-003","依據環境治療原則，在精神科病房公共區域懸掛日曆及時鐘的主要目的，下列何者最適當？",3,114,{"webId":61,"stem":62,"number":44,"year":63,"session":10},"nurse-106-1-psychiatric-community-047","為老人施打流感疫苗，是屬於那一種傳染病防治策略？",106,"2026-09-04",1788510736417]