[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-111-2-psychiatric-community-040":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"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-111-2-精神科與社區衛生護理學-040","nurse-111-2-psychiatric-community-040",111,2,40,"有關慢性精神病人四段七級健康促進模式的主要策略，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"第一級策略為健康促進、急性精神症狀控制","第三級策略為居家護理、社區小作手方案","第五級策略為健康檢查、吸菸嚼檳榔等高風險族群篩檢","第六級策略為轉介居家治療與精神長照機構","D",null,[],"本題考點是慢性精神病人四段七級健康促進模式的層級策略配對。此模式將傳統三段五級預防架構擴充應用於慢性精神病人照護:前段層級對應健康促進與特殊保護,中段對應早期診斷與治療、限制殘障,後段對應復健與長期照護銜接;第六級策略為轉介居家治療與精神長照機構,屬持續性照護與長期安置的層級,故 D 正確。A 錯在第一級策略是健康促進(如衛教、生活型態),急性精神症狀控制屬治療層級,不在第一級。B 錯在第三級對應早期診斷與早期治療,居家護理與社區小作手方案屬後段復健與持續照護策略。C 錯在健康檢查與吸菸嚼檳榔高風險族群篩檢屬早期發現的次段策略,非第五級。此模式層級劃分屬較冷門教材內容,判斷以三段五級邏輯延伸推理。","以 Leavell 與 Clark 三段五級為骨架記憶:初段(1 健康促進、2 特殊保護)、次段(3 早期診斷早期治療)、末段(4 限制殘障、5 復健);四段七級模式為因應慢性精神病人需求,在末段之後再延伸持續照護層級(如轉介居家治療、精神護理之家等精神長照機構),形成第六、七級。答題策略:急性症狀控制屬「治療」不會出現在第一級;「篩檢」對應早期發現;「轉介長照與居家治療」必然落在最後段層級,依序位邏輯即可刪去錯項。",[24,27,29,31],{"term":25,"count":26},"三段五級預防架構",1,{"term":28,"count":26},"四段七級健康促進模式",{"term":30,"count":26},"慢性精神病人長期照護",{"term":32,"count":26},"居家治療轉介",[34,38,43,47,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-111-2-psychiatric-community-041","有關依賴指數（dependency ratio）的敘述，下列何者錯誤？",41,{"webId":39,"stem":40,"number":41,"year":42,"session":26},"nurse-112-1-psychiatric-community-057","根據性別工作平等法和勞動基準法，有關職場母乳哺餵之護理指導，下列何者最不適宜？",57,112,{"webId":44,"stem":45,"number":46,"year":42,"session":10},"nurse-112-2-psychiatric-community-071","依據職業安全衛生設施規則，雇主應對長期處於高噪音環境之勞工實施安全防護，下列何者錯誤？",71,{"webId":48,"stem":49,"number":50,"year":51,"session":52},"nurse-113-3-psychiatric-community-039","慕容爺爺跟護理師抱怨自己近日身體出現一些變化，包括：①身高變矮 ②睡眠習慣改變 ③下背痛 ④ 體重減輕。上述那些變化最可能是骨質疏鬆的警訊？",39,113,3,{"webId":54,"stem":55,"number":56,"year":57,"session":26},"nurse-115-1-psychiatric-community-043","有關葡萄糖-6-磷酸鹽去氫酶（G-6-PD）的護理指導，下列何者錯誤？",43,115,{"webId":59,"stem":60,"number":41,"year":61,"session":10},"nurse-106-2-psychiatric-community-057","有關兒童期肥胖的處置，下列何者錯誤？",106,"2026-09-04",1788510740079]