[{"data":1,"prerenderedAt":61},["ShallowReactive",2],{"q-nurse-111-2-psychiatric-community-079":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":31,"lastmod":60},"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-079","nurse-111-2-psychiatric-community-079",111,2,79,"有關慢性腎臟病初期病人的飲食指導，下列何者最不適當？",{"A":14,"B":15,"C":16,"D":17},"建議攝取高品質蛋白質食物為原則","麵筋、麵腸等屬高蛋白質食物可以多食用","減少攝取磷含量高的食物","多食蔬菜且儘量減少湯汁攝取","B",null,[],"本題考點在於慢性腎臟病初期的飲食指導，屬「找最不適當」題。慢性腎臟病須採「低蛋白但高生物價（高品質）」飲食，以減少含氮廢物堆積。A建議攝取高品質（高生物價）蛋白質為原則正確；C磷含量高食物易致高血磷應減少，正確；D多食蔬菜、減少湯汁（湯汁鉀鈉磷含量高）也適當。錯誤在B，麵筋、麵腸屬植物性、低生物價蛋白質，且慢性腎臟病應限制總蛋白量而非「多食用」，鼓勵多吃低品質蛋白會加重腎臟負擔，故B最不適當、為答案。考點在於辨識植物性麵製品是低生物價蛋白且應限量。","關鍵對比：高生物價蛋白（蛋、奶、魚、肉、黃豆）胺基酸利用率高、含氮廢物少，應優先；低生物價（麵筋、麵腸等麵製品、一般穀類）利用率低。慢性腎臟病飲食原則＝適度限蛋白、控磷控鉀控鈉、足夠熱量避免組織分解。麵筋常被誤認為健康蛋白，實為腎友地雷。",[24,27,29],{"term":25,"count":26},"慢性腎臟病飲食原則",1,{"term":28,"count":26},"高生物價蛋白質",{"term":30,"count":26},"低蛋白飲食",[32,36,41,46,51,56],{"webId":33,"stem":34,"number":35,"year":9,"session":10},"nurse-111-2-psychiatric-community-080","有關中老年慢性病個案管理的目標，下列何者最不適當？",80,{"webId":37,"stem":38,"number":39,"year":40,"session":10},"nurse-112-2-psychiatric-community-016","有關家庭治療的護理措施，下列何者最適宜？",16,112,{"webId":42,"stem":43,"number":44,"year":40,"session":45},"nurse-112-3-psychiatric-community-030","以糖尿病篩檢工具對 300 人進行篩檢，結果顯示 26 個糖尿病人中有 16 人為陽性反應，274 個沒有糖尿病人中 270 人為陰性反應。此篩檢工具的敏感度為何？",30,3,{"webId":47,"stem":48,"number":49,"year":50,"session":26},"nurse-114-1-psychiatric-community-028","有關流行病學的敘述，下列何者最不適當？",28,114,{"webId":52,"stem":53,"number":54,"year":55,"session":10},"nurse-115-2-psychiatric-community-032","計畫執行初期欲評估是否符合社區民眾的需求，此屬於下列何項評價？",32,115,{"webId":57,"stem":58,"number":39,"year":59,"session":26},"nurse-107-1-psychiatric-community-016","承上題，下列那些因素可能造成劉先生產生上述行為？①退化 ②急性創傷 ③知覺刺激過多 ④腦血管損傷",107,"2026-09-04",1788510740442]