[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-111-1-psychiatric-community-052":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":36,"lastmod":65},"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-052","nurse-111-1-psychiatric-community-052",111,1,52,"下列何者為永續經營社區健康營造中心最不需考量的重點？",{"A":14,"B":15,"C":16,"D":17},"是否由上而下的方式形成的行動","是否能接受民眾自決與創意的組織文化","是否發展推動多元性健康生活的策略","是否歷經民眾自決健康需求的過程","A",null,[],"本題考點在社區健康營造的永續經營原則，屬「找最不需考量」題。依社區健康營造理念，強調社區培力（empowerment）與『由下而上』的居民參與、自決，故「是否由上而下的方式形成的行動」與永續經營精神相違，屬最不需（甚至應避免）考量的重點，選 A。考點在於辨識社區營造重視由下而上。B 能接受民眾自決與創意的組織文化、C 發展多元健康生活策略、D 歷經民眾自決健康需求的過程，皆體現居民主體性與參與，正是永續經營的關鍵要素，屬應考量。故最不需考量者為 A。","社區健康營造承接渥太華憲章『強化社區行動』與『培力』精神，主張居民才是健康的主體，透過參與、自決與在地資源動員形成內生動力，方能永續。『由上而下』的行政指令式推動雖能快速啟動，卻易缺乏在地認同而難以持續。永續要素包含：居民參與與自決、在地組織文化支持、多元策略、資源整合與跨部門協力。口訣：『社區營造＝由下而上、居民作主、才長久』。",[24,27,30,32,34],{"term":25,"count":26},"渥太華憲章",11,{"term":28,"count":29},"社區健康營造",8,{"term":31,"count":10},"社區培力(empowerment)",{"term":33,"count":10},"由下而上參與",{"term":35,"count":10},"居民自決",[37,41,46,51,56,61],{"webId":38,"stem":39,"number":40,"year":9,"session":10},"nurse-111-1-psychiatric-community-053","有關社區資源盤點的功能，下列何者錯誤？",53,{"webId":42,"stem":43,"number":44,"year":9,"session":45},"nurse-111-2-psychiatric-community-069","有關校園結核病護理指導，下列何者正確？① 結核病主要為直接接觸傳染應保持教室通風 ②教職員生若有咳嗽超過一週應建議其盡速就醫 ③都治計畫是針對確診個案的治療策略 ④結核病指標個案是指確定診斷的結核病病人",69,2,{"webId":47,"stem":48,"number":49,"year":50,"session":45},"nurse-112-2-psychiatric-community-003","將自己內在無法接受的想法、慾望或衝動，歸咎成他人，讓自己減少一份威脅、危險，同時也增加一份保護的作用，此最可能為下列何種心理防衛機轉？",3,112,{"webId":52,"stem":53,"number":54,"year":55,"session":45},"nurse-113-2-psychiatric-community-021","有關老年憂鬱症的治療，下列敘述何者最不適切？",21,113,{"webId":57,"stem":58,"number":59,"year":60,"session":49},"nurse-114-3-psychiatric-community-025","有關日間留院照護，下列敘述何者最適當？",25,114,{"webId":62,"stem":63,"number":44,"year":64,"session":10},"nurse-106-1-psychiatric-community-069","社區衛生護理師在遊民庇護所及貧民住宅區促成醫療診所的設置，是屬於何種個案管理策略的應用？",106,"2026-09-04",1788510736662]