[{"data":1,"prerenderedAt":62},["ShallowReactive",2],{"q-nurse-112-1-psychiatric-community-066":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"lastmod":61},"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-066","nurse-112-1-psychiatric-community-066",112,1,66,"有關擬定原住民健康政策之敘述，下列何者最適宜？",{"A":14,"B":15,"C":16,"D":17},"強調以改善部落成人健康與工作能力為主","主要考量疾病特性及預防，不需考量文化與傳統","上小學後再開始紮根健康意識與健康行為","人才訓練須融入文化敏感度","D",null,[],"本題考點在於原住民健康政策應遵循的文化照護與可近性原則。依文化照護理論與健康促進的社區充能觀點，原住民健康問題深受部落文化、傳統信仰與生活型態影響，政策與人才訓練必須融入文化敏感度，才能提供貼近需求、被族人接受的服務，故選D。A僅強調成人工作能力，忽略嬰幼兒與長者等全生命週期需求；B宣稱不需考量文化與傳統，直接違背文化照護核心；C主張上小學才紮根健康行為，錯失學齡前健康習慣養成的關鍵期，三者均不符合以文化為本、全人全程的政策精神，故排除。","本題情境屬於文化照護與健康不平等議題。Leininger跨文化照護理論主張照護須與案主文化脈絡一致（culturally congruent care），對原住民而言尤須尊重巫醫、祭儀、飲食禁忌與部落決策機制。政策層面對應社區充能（empowerment）與在地人才培育，讓部落自主參與。記憶重點：凡選項出現「不需考量文化」「只顧單一族群」「延後健康教育起始」多為錯誤。可連結健康的社會決定因素（SDOH）與長照原住民文化健康站一併複習。",[24,27,29,32],{"term":25,"count":26},"文化敏感度",3,{"term":28,"count":26},"社區充能",{"term":30,"count":31},"原住民健康政策",2,{"term":33,"count":10},"文化照護理論",[35,39,42,47,52,57],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-112-1-psychiatric-community-067","有關優生保健護理指導，下列何者最適宜？①提醒應定期產檢，並說明目前補助的產前檢查內容 ②孕期第 3 個月前應完成德國麻疹疫苗接種 ③34 歲以上高齡孕婦建議接受羊膜穿刺檢查以診斷胎兒是否有唐氏症 ④應於孕期第 3 個月前接受甲型鏈球菌的篩檢",67,{"webId":40,"stem":41,"number":26,"year":9,"session":26},"nurse-112-3-psychiatric-community-003","施先生因症狀不穩而住院治療，他說：「我真的沒病，為什麼把我關起來？」，護理師使用同理心的技巧回應，下列何者最適宜？",{"webId":43,"stem":44,"number":45,"year":46,"session":10},"nurse-113-1-psychiatric-community-047","陳女士，喪偶，罹患中度失智症，與兒女同住但平日兒女需上班。下列何項長照服務應優先建議？",47,113,{"webId":48,"stem":49,"number":50,"year":51,"session":31},"nurse-114-2-psychiatric-community-045","依據學校衛生法，下列何者為學校對學童常見的體格缺點或疾病，應加強預防及矯治工作？①視力不良 ②糖尿病 ③脊椎彎曲 ④肥胖 ⑤氣喘 ⑥運動傷害",45,114,{"webId":53,"stem":54,"number":55,"year":56,"session":10},"nurse-106-1-psychiatric-community-049","致病模式中之網狀模式較適合用來解釋何種疾病的特性？",49,106,{"webId":58,"stem":59,"number":26,"year":60,"session":31},"nurse-107-2-psychiatric-community-003","精神醫療受到去機構化運動的影響，使社區中的精神病人或精神復健病人有增加趨勢，下列何項場所最適合社區精神病人的安排？",107,"2026-09-04",1788510743720]