[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-111-2-psychiatric-community-047":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-111-2-精神科與社區衛生護理學-047","nurse-111-2-psychiatric-community-047",111,2,47,"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？",{"A":14,"B":15,"C":16,"D":17},"20%","23.81%","44.44%","50%","B",null,[],"本題考點在於篩檢工具的陽性預測值（PPV）計算。依定義 PPV＝真陽性÷（真陽性＋偽陽性），即所有篩檢陽性者中真正有病的比例。本題真陽性為癌症個案中呈陽性者 500 名，偽陽性為健康者中呈陽性者 1,600 名，故 PPV＝500÷（500＋1,600）＝500÷2,100≈23.81%，選 B。考點在於辨識 PPV 以「篩檢陽性者」為分母，而非以全部人口或全部病人為分母。A「20%」是把分母誤算為 2,500；C「44.44%」與 D「50%」則混淆了敏感度或特異度的計算方式，未正確界定真陽性與偽陽性。四則運算須嚴守 PPV 定義的分母組成。","四格表記憶法：PPV＝a\u002F(a+b)（直行看陽性欄），NPV＝d\u002F(c+d)。敏感度＝a\u002F(a+c)（橫列看病人列），特異度＝d\u002F(b+d)。PPV 受盛行率影響甚大，盛行率低時 PPV 會下降。本題病人陽性 500、健康陽性 1,600，偽陽性偏多故 PPV 不高，正呼應此原理。",[24,27,29,31],{"term":25,"count":26},"陽性預測值",3,{"term":28,"count":26},"敏感度與特異度",{"term":30,"count":10},"篩檢四格表",{"term":32,"count":33},"盛行率影響",1,[35,39,44,48,53,58],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-111-2-psychiatric-community-048","下列何項生命統計指標可做為評估國家、社會、經濟和衛生等政策規劃的綜合指標？",48,{"webId":40,"stem":41,"number":42,"year":43,"session":33},"nurse-112-1-psychiatric-community-064","依據杜瓦爾（Duvall）家庭發展理論，王先生和太太育有一位 5 歲小女孩，是屬於下列何種家庭階段？",64,112,{"webId":45,"stem":46,"number":47,"year":43,"session":10},"nurse-112-2-psychiatric-community-078","周女士 BMI＝26（kg\u002Fm 2 ），腰圍 88 公分且無規律運動習慣，想要利用運動來減重，下列何者對她減重的運動指導最為正確？①以有氧運動最佳 ②每週至少需進行 150 分鐘以上中強度身體活動 ③從事高強度的運動，才能達到減重效果 ④騎一般速度腳踏車比跑步消耗更多熱量",78,{"webId":49,"stem":50,"number":51,"year":52,"session":26},"nurse-113-3-psychiatric-community-046","82 歲潘老太太，身體衰弱需女兒協助日常生活照顧，但女兒白天通勤及上班時間共約 10 小時，無法配合日間照顧中心的服務時段，但女兒仍希望媽媽白天能接受長期照顧服務，下列何項社區式長照服務最適當？",46,113,{"webId":54,"stem":55,"number":56,"year":57,"session":33},"nurse-115-1-psychiatric-community-050","有關代謝症候群及其健康照護的敘述，下列何者最適當？",50,115,{"webId":59,"stem":60,"number":42,"year":61,"session":10},"nurse-106-2-psychiatric-community-064","下列何者是社區的無形資源？①社區人力 ②社區意識 ③社區文化規範 ④社區的凝聚力 ⑤社區物力",106,"2026-09-04",1788510740166]