[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-112-1-psychiatric-community-077":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":32,"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":10},"nurse-112-1-精神科與社區衛生護理學-077","nurse-112-1-psychiatric-community-077",112,1,77,"王老先生 78 歲，接受成人健檢抽血檢查發現腎絲球過濾率值（GFR）為 53 mL\u002Fmin\u002F1.73 m 2 前來健康諮詢。社區護理師的衛教與評估，下列何項最不適宜？",{"A":14,"B":15,"C":16,"D":17},"衛教個案腎功能約為正常成人的 70%","老年人的腎絲球過濾率值常會比年輕人低","評估個案是否有水腫和倦怠感","建議個案少吃高蛋白食物","A",null,[],"本題考點在於腎絲球過濾率（GFR）數值與腎功能百分比的換算判讀，屬反向題。成人正常GFR約90～120 mL\u002Fmin\u002F1.73m²（常以100為基準），王老先生GFR為53，換算約為正常值的一半（約50～60%），已達慢性腎臟病第3期，若衛教「腎功能約為正常成人的70%」則高估其殘餘功能、與數值不符，錯誤敘述為A，故選A。B老年人GFR隨年齡下降屬正常生理、C評估水腫與倦怠等腎功能不足表徵、D建議減少高蛋白飲食以減輕腎臟負擔，皆為適宜衛教，故排除。","慢性腎臟病依GFR分期：第1期≥90、第2期60～89、第3期30～59、第4期15～29、第5期\u003C15（透析)。GFR 53落在第3期，約為正常的五至六成而非七成。老化本會使GFR每年約下降1 mL\u002Fmin，屬正常。飲食上限制蛋白質可減少含氮廢物與腎絲球高過濾負荷。記憶重點：把GFR當「腎功能百分比」快速換算（GFR÷100≈殘餘比例）即可揪出高估陷阱。可連結CKD分期與腎臟保護飲食一併複習。",[24,26,28,30],{"term":25,"count":10},"腎絲球過濾率GFR",{"term":27,"count":10},"正常值換算",{"term":29,"count":10},"慢性腎臟病分期",{"term":31,"count":10},"老化腎功能下降",[33,37,42,48,53,58],{"webId":34,"stem":35,"number":36,"year":9,"session":10},"nurse-112-1-psychiatric-community-078","依據糖尿病照護指引，糖尿病之控制標準下列何者較不適宜？",78,{"webId":38,"stem":39,"number":40,"year":9,"session":41},"nurse-112-3-psychiatric-community-014","李同學就讀高中三年級，日前媽媽生病過世，李同學因為失落、哀傷住進急性病房，護理師在住院過程提供支持性心理治療（supportive psychotherapy），下列有關支持性心理治療概念的描述，何者錯誤？",14,3,{"webId":43,"stem":44,"number":45,"year":46,"session":47},"nurse-113-2-psychiatric-community-008","趙女士，在病房內出現未滿足其需求時，便威脅要撞牆。下列護理措施何者最適宜？",8,113,2,{"webId":49,"stem":50,"number":51,"year":52,"session":41},"nurse-114-3-psychiatric-community-006","有關抗焦慮藥戒斷症狀，下列何者正確？",6,114,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-106-1-psychiatric-community-060","有關廢棄物處理程序的描述，下列何者錯誤？",60,106,{"webId":59,"stem":60,"number":40,"year":61,"session":47},"nurse-107-2-psychiatric-community-014","護病關係建立過程中，病人將其對過去經驗中重要對象的感覺、態度和希望投射至護理師身上，稱為：",107,"2026-09-04",1788510743834]