[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-111-2-psychiatric-community-067":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-067","nurse-111-2-psychiatric-community-067",111,2,67,"有關護理師對更年期婦女的護理指導，下列何者最不適當？",{"A":14,"B":15,"C":16,"D":17},"結合社區活動促進婦女彼此分享經驗","提供相關保健資訊與協助","鼓勵使用賀爾蒙替代療法減輕不適症狀","鼓勵以正向態度面對","C",null,[],"本題考點在於更年期婦女護理指導中賀爾蒙替代療法（HRT）的謹慎立場。HRT 雖能緩解更年期不適，但具乳癌、心血管疾病與血栓等風險，需經醫療評估後個別化使用，不宜由護理指導「一律鼓勵使用」，故 C「鼓勵使用賀爾蒙替代療法減輕不適症狀」最不適當，為正解。考點在於辨識 HRT 有風險、不應一概鼓勵。A 結合社區活動促進婦女分享經驗，屬正向的社會支持；B 提供保健資訊與協助符合衛教角色；D 鼓勵以正向態度面對更年期屬適切的心理支持。三者皆為合宜指導，唯 C 忽略 HRT 的風險與個別評估需求。","HRT 風險證據源自 WHI 研究：長期合併雌激素＋黃體素可增加乳癌、冠心病、中風與靜脈栓塞風險，故採「最低有效劑量、最短期間、個別評估」原則。更年期照護應以生活型態調整（運動、鈣與維生素 D、飲食）為基礎，HRT 屬須醫療評估後審慎使用的選項，非普遍鼓勵。",[24,27,29,31],{"term":25,"count":26},"賀爾蒙替代療法",1,{"term":28,"count":26},"更年期護理",{"term":30,"count":26},"WHI 研究",{"term":32,"count":26},"個別化評估",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-111-2-psychiatric-community-068","下列何項資料最適合用來收集社區民眾的價值觀、行為特質、風俗習慣、文化特性以及政治體系？",68,{"webId":39,"stem":40,"number":41,"year":42,"session":10},"nurse-112-2-psychiatric-community-004","有關鋰鹽的敘述，下列何者正確？",4,112,{"webId":44,"stem":45,"number":46,"year":42,"session":47},"nurse-112-3-psychiatric-community-018","葉先生，36 歲，診斷恐慌症，發作時感到喘不過氣、胸痛、四肢麻痺，在急診時大喊：「我覺得快死了！」，下列護理師的處置，何者最適宜？",18,3,{"webId":49,"stem":50,"number":51,"year":52,"session":26},"nurse-114-1-psychiatric-community-016","辛小姐診斷為強迫症，會反覆出現希望妹妹死掉的念頭，且對此感到非常焦慮。所以每當看到妹妹時，就開始在心中默念圓周率的數字以減輕焦慮。下列何項敘述最能說明辛小姐的行為？",16,114,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-115-2-psychiatric-community-020","有關自閉症類群障礙症（autism spectrum disorder, ASD）敘述，下列何者最不適當？",20,115,{"webId":59,"stem":60,"number":41,"year":61,"session":26},"nurse-107-1-psychiatric-community-004","下列何者屬於精神衛生法所保障的精神病人權益？",107,"2026-09-04",1788510740328]