[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-112-1-psychiatric-community-050":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-112-1-精神科與社區衛生護理學-050","nurse-112-1-psychiatric-community-050",112,1,50,"社區護理師利用敏感度（sensitivity）80%，特異度（specificity）94%的大腸癌篩檢工具，篩檢社區民眾是否罹患大腸癌，下列敘述何者正確？",{"A":14,"B":15,"C":16,"D":17},"篩檢為陽性的個案中，有 80%的人會被確診為大腸癌","參與篩檢的個案中，有 80%的人會被確診無大腸癌","未罹患大腸癌個案中，有 94%的人會被篩檢為陰性","篩檢為陰性的個案中，有 94%的人會被確診無大腸癌","C",null,[],"本題考點為篩檢工具敏感度與特異度的正確判讀。依定義,特異度(specificity)=在「未罹病者」中被正確篩為陰性的比例,題目特異度94%即代表未罹患大腸癌的個案中有94%會被篩檢為陰性(真陰性率),故C正確。A錯,陽性者確診比例是陽性預測值,非敏感度80%;B錯,80%是敏感度(真陽性率),非全體受檢者無病比例;D錯,陰性者確實無病的比例是陰性預測值,不等於特異度94%。關鍵在區分敏感度\u002F特異度與預測值。","定義區辨:敏感度=真陽性\u002F所有病人(抓得出病人);特異度=真陰性\u002F所有非病人(排得掉健康者)。預測值受盛行率影響:陽性預測值PPV=真陽性\u002F所有陽性,陰性預測值NPV=真陰性\u002F所有陰性。敏感度與特異度是工具本身特性,不隨盛行率變動,是本題陷阱關鍵。",[24,27,30,32],{"term":25,"count":26},"敏感度",3,{"term":28,"count":29},"特異度",2,{"term":31,"count":29},"陽性\u002F陰性預測值",{"term":33,"count":10},"篩檢判讀",[35,39,43,48,53,58],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-112-1-psychiatric-community-051","社區護理師想知道如何能快速將活動訊息傳遞給社區民眾，必須深入評估何項社區資料？",51,{"webId":40,"stem":41,"number":42,"year":9,"session":29},"nurse-112-2-psychiatric-community-067","有關兒童視力保健之衛教指導，下列何者錯誤？",67,{"webId":44,"stem":45,"number":46,"year":47,"session":10},"nurse-113-1-psychiatric-community-031","有關華倫（Warren）社區功能理論的敘述，下列何者正確？①社會控制－社區巡守隊 ②社會參與－學校導護志工 ③相互支援－慈善團體愛心捐贈 ④生產分配消費－社區讀書會",31,113,{"webId":49,"stem":50,"number":51,"year":52,"session":29},"nurse-114-2-psychiatric-community-029","有關新型 A 型流感（禽流感）的敘述，下列何者最不適當？",29,114,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-106-1-psychiatric-community-033","依據精神衛生法規定，嚴重病人不遵醫囑致病情不穩或生活功能有退化之虞，經審查會決定接受社區治療之必要，於社區復健機構治療期間之醫療費用，由誰給付？",33,106,{"webId":59,"stem":60,"number":42,"year":61,"session":10},"nurse-107-1-psychiatric-community-067","下列何者，可作為一個國家用來評估婦幼衛生保健工作實行成效的最佳指標？",107,"2026-09-04",1788510743573]