[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-112-1-psychiatric-community-058":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":35,"lastmod":63},"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-058","nurse-112-1-psychiatric-community-058",112,1,58,"社區護理師發現某社區成人健康檢查，結果有 60%的受檢者身體質量指數（BMI）超過 27 kg\u002Fm 2 ，下列何項護理指導內容最不符合第一段預防策略？",{"A":14,"B":15,"C":16,"D":17},"建議接受口服葡萄糖耐受試驗","避免攝取高升糖指數的食物","維持理想體重的方法","避免久坐與靜態生活","A",null,[],"本題考點為預防醫學分段與衛教內容的對應,屬反向題。依三段五級預防,第一段預防(初級)包含健康促進與特殊保護,針對尚未發病者。B避免高升糖指數食物、C維持理想體重、D避免久坐,皆屬健康促進的生活型態衛教,符合第一段。錯誤選項為A「建議接受口服葡萄糖耐受試驗」,此為早期診斷的篩檢工具,屬第二段預防(次級)而非第一段,故最不符合,選A。關鍵在辨識篩檢屬次級預防。","三段五級:第一段(健康促進+特殊保護)、第二段(早期診斷早期治療,含篩檢)、第三段(限制殘障+復健)。口服葡萄糖耐受試驗(OGTT)是糖尿病診斷\u002F篩檢工具,對BMI過高的高危族群屬早期發現,歸第二段。而飲食、體重、活動衛教屬第一段生活型態介入。",[24,27,30,33],{"term":25,"count":26},"三段五級預防",27,{"term":28,"count":29},"健康促進",17,{"term":31,"count":32},"第一段預防",2,{"term":34,"count":10},"口服葡萄糖耐受試驗",[36,40,44,49,54,59],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-112-1-psychiatric-community-059","社區護理師家訪時發現：陳先生 55 歲，3 個月前中風，左半邊肢體較無力，復健後行走不需用拐杖；擔心再次中風會坐輪椅或需人照顧。根據健康信念模式，是符合下列何項評估要素？",59,{"webId":41,"stem":42,"number":43,"year":9,"session":32},"nurse-112-2-psychiatric-community-075","陳先生 74 歲，出血性中風個案，巴氏量表為 55 分，主要照顧者為 72 歲陳太太；陳先生於情況穩定後出院返家，但仍須留置鼻胃管及氣切管，陳太太表示無法獨自帶先生回門診，且對管路照顧感到擔心。個案管理師最優先建議陳太太使用的長期照顧服務資源，下列何項最適當？",75,{"webId":45,"stem":46,"number":47,"year":48,"session":10},"nurse-113-1-psychiatric-community-039","有關酸雨的敘述，下列何者最正確？",39,113,{"webId":50,"stem":51,"number":52,"year":53,"session":32},"nurse-114-2-psychiatric-community-037","下列何種細菌產生的毒素在高溫烹煮過後最不容易被破壞？",37,114,{"webId":55,"stem":56,"number":57,"year":58,"session":10},"nurse-106-1-psychiatric-community-041","歷史上社區衛生護理發展的最初模式為：",41,106,{"webId":60,"stem":61,"number":43,"year":62,"session":10},"nurse-107-1-psychiatric-community-075","有關學校衛生護理師進行健康促進活動前的準備工作，下列何者較不恰當？",107,"2026-09-04",1788510743649]