[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-111-1-psychiatric-community-074":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"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-074","nurse-111-1-psychiatric-community-074",111,1,74,"有關長期照顧的理念與目標，下列何者最不適當？",{"A":14,"B":15,"C":16,"D":17},"機構化（institutionalization）：服務以機構資源為主、社區資源為輔的原則","在地老化（aging in place）：儘可能讓服務使用者能安全、舒適地留在家中或生活於熟悉的社區","整合式服務（integrated care）：同時需要生活照顧、醫事照顧、社會支持、多面向資源組合的服務","消費者導向（consumer-driven）：強調個別化與人性化的服務，提供所需之協助與支持","A",null,[],"本題考點是長期照顧的核心理念與目標。依當代長照政策，主流理念是「去機構化」、以社區與居家為主、機構為輔，強調在地老化，故 A 敘述「機構化：以機構資源為主、社區資源為輔」與長照理念背道而馳，最不適當，選 A。B 正確，在地老化是讓服務使用者盡量留在家中或熟悉社區。C 正確，整合式服務結合生活照顧、醫事照顧與社會支持等多面向資源。D 正確，消費者導向強調個別化、人性化並提供所需協助。因此 A 因主張機構優先而違反長照精神，為最不適當者。","長照政策的價值主軸是「在地老化、去機構化、社區化、整合化、以人為本」。在地老化（aging in place）源自北歐，主張讓長者在熟悉環境中維持自主與尊嚴，機構安置僅為最後選項；整合式照顧（integrated care）打破醫療與社福的服務斷裂，提供連續性照顧；消費者／使用者導向（person-centered）尊重個別偏好與選擇。選項 A 把「機構為主、社區為輔」當理念，正好顛倒了現行「社區為主、機構為輔」的政策方向，是明顯的反向陷阱。可延伸連結長照 2.0 的社區整體照顧 ABC 模式與服務連續光譜（居家—社區—機構）。",[24,27,30,32],{"term":25,"count":26},"去機構化",16,{"term":28,"count":29},"在地老化",4,{"term":31,"count":10},"長期照顧理念",{"term":33,"count":10},"整合式照顧與消費者導向",[35,39,44,49,54,60],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-111-1-psychiatric-community-075","長期照顧十年計畫 2.0 採用 ABC 三級服務，其主要目的為何？",75,{"webId":40,"stem":41,"number":42,"year":43,"session":10},"nurse-112-1-psychiatric-community-011","有關認知行為治療步驟的敘述，下列何者最不適宜？",11,112,{"webId":45,"stem":46,"number":47,"year":43,"session":48},"nurse-112-2-psychiatric-community-025","陳先生，近三個月多次忽然間感到胸痛、心悸、發抖、透不過氣，失去現實感等症狀，可在幾分鐘後緩解，經各項身體檢查顯示並無生理疾病，但之後陳先生仍持續擔心症狀會再度發作並死亡。下列敘述何者為陳先生最可能的診斷？",25,2,{"webId":50,"stem":51,"number":52,"year":53,"session":48},"nurse-113-2-psychiatric-community-043","有關兒童事故傷害的敘述，下列何者最不適當？",43,113,{"webId":55,"stem":56,"number":57,"year":58,"session":59},"nurse-114-3-psychiatric-community-047","有關失智症個案照護之目標，下列敘述何者最不適當？",47,114,3,{"webId":61,"stem":62,"number":42,"year":63,"session":48},"nurse-106-2-psychiatric-community-011","有關電氣痙攣療法（electroconvulsive therapy, ECT）護理照護的敘述，下列何者正確？",106,"2026-09-04",1788510736886]