[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-111-1-psychiatric-community-079":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"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":26},"nurse-111-1-精神科與社區衛生護理學-079","nurse-111-1-psychiatric-community-079",111,1,79,"以腰圍作為代謝症候群指標之一，是因為腹部肥胖可以推估下列何者之多寡？",{"A":14,"B":15,"C":16,"D":17},"皮下脂肪","內臟脂肪","蛋白質","肌肉","B",null,[],"本題考點是腰圍作為代謝症候群指標的生理意義。依代謝症候群概念，腰圍反映的是「腹部（中央型）肥胖」，主要用以推估堆積於腹腔臟器周圍的「內臟脂肪」多寡，故選 B。A 皮下脂肪雖也分布於腹部，但與代謝風險關聯較弱，並非腰圍指標所著重推估者。C 蛋白質與 D 肌肉屬體組成的非脂肪成分，與腰圍量測代謝風險的目的無關。內臟脂肪過多與胰島素阻抗、血脂異常、高血壓等代謝異常密切相關，這正是腰圍被納入代謝症候群診斷的原因，故正解為 B。","內臟脂肪（visceral fat）具高度代謝活性，會分泌游離脂肪酸與發炎性脂肪激素（如 TNF-α、IL-6、瘦素上升、脂聯素下降），經門靜脈直接影響肝臟，造成胰島素阻抗、血脂異常與慢性發炎，是代謝症候群的核心病理。我國代謝症候群五項指標：腰圍（男≥90、女≥80 公分）、血壓≥130\u002F85、空腹血糖≥100、三酸甘油酯≥150、HDL（男\u003C40、女\u003C50），符合三項即成立。腰圍之所以優於 BMI 判斷代謝風險，正因它更能反映中央型肥胖與內臟脂肪。皮下脂肪代謝活性低、風險小，是本題的干擾項。可延伸連結胰島素阻抗與第二型糖尿病的關聯。",[24,27,30,33],{"term":25,"count":26},"代謝症候群",8,{"term":28,"count":29},"胰島素阻抗",4,{"term":31,"count":32},"腰圍與中央型肥胖",3,{"term":15,"count":10},[35,39,44,49,54,58],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-111-1-psychiatric-community-080","整合性篩檢是現階段政府推動重要的社區中老年防治計畫，下列何者正確？①肺癌、肝癌、乳癌、口腔癌、子宮頸癌是五種癌症的項目 ②早期防治能見效是因慢性病的病因較為單純 ③糖尿病、高血壓與高血脂是慢性病防治重點 ④此項業務隸屬在衛生福利部國民健康署",80,{"webId":40,"stem":41,"number":42,"year":43,"session":10},"nurse-112-1-psychiatric-community-016","趙女士，身高 165 公分，診斷為憂鬱症，近 2 週食慾不佳，每餐只喝少許果汁，體重從 55 公斤降至 45 公斤。依據上述症狀，何者為最適宜的護理診斷？",16,112,{"webId":45,"stem":46,"number":47,"year":43,"session":48},"nurse-112-2-psychiatric-community-030","下列有關閱讀障礙（Dyslexia）之敘述，何者錯誤？",30,2,{"webId":50,"stem":51,"number":52,"year":53,"session":48},"nurse-113-2-psychiatric-community-048","依據長期照顧服務法，身心失能持續已達或預期達多久以上者，可依個人或照顧者需求，申請相關長照服務？",48,113,{"webId":55,"stem":56,"number":48,"year":57,"session":10},"nurse-115-1-psychiatric-community-002","向精神病人和家屬說明電痙攣療法對憂鬱症的療效和治療過程，讓他們可以充分了解後再決定簽署同意書，此時醫療人員是秉持下列那一項倫理原則？",115,{"webId":59,"stem":60,"number":42,"year":61,"session":48},"nurse-106-2-psychiatric-community-016","承上題，王先生容易受環境刺激，而變得更加躁動不安，下列措施何者最適宜？",106,"2026-09-04",1788510736935]