[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-112-2-psychiatric-community-046":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"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-112-2-精神科與社區衛生護理學-046","nurse-112-2-psychiatric-community-046",112,2,46,"有關篩檢工具的敘述，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"敏感度與特異度是代表篩檢工具的信度","當提高工具的敏感度，也會同時提高工具的特異度","陽性預測值為真正罹患疾病的人當中，篩檢為陽性的比率","當工具的敏感度與特異度不變，疾病盛行率愈高時，陽性預測值愈高","D",null,[],"本題考點是篩檢工具的評價指標，正確者為 D。當篩檢工具的敏感度與特異度維持不變時，疾病盛行率愈高，陽性預測值（PPV）愈高，故 D 正確為正解。A 錯，敏感度與特異度反映工具的效度（validity）而非信度（reliability）。B 錯，敏感度與特異度通常呈抵換（trade-off）關係，提高敏感度往往降低特異度，無法同時提高。C 錯，陽性預測值的定義是「篩檢為陽性者中真正罹病的比率」，而非「罹病者中篩檢為陽性的比率」（後者是敏感度）。考點在於辨識「盛行率上升則 PPV 上升」及敏感度／特異度／陽性預測值的正確定義。","敏感度＝真陽性／所有真正病人（抓病人的能力）；特異度＝真陰性／所有真正無病者（排健康人的能力）；PPV＝真陽性／所有篩檢陽性者，受盛行率強烈影響：同一工具用在高盛行率族群，陽性者較可能真的有病，PPV 上升；用在低盛行率族群則偽陽性比例升高、PPV 下降。記憶要點：敏感／特異看工具本身，PPV／NPV 隨盛行率而變。可延伸連結 2×2 表、ROC 曲線與篩檢工具效度評估。",[24,27,29,32],{"term":25,"count":26},"敏感度與特異度",3,{"term":28,"count":10},"疾病盛行率",{"term":30,"count":31},"篩檢工具評價",1,{"term":33,"count":31},"陽性預測值 PPV",[35,39,44,48,53,58],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-112-2-psychiatric-community-047","依據三段五級預防模式，下列何者屬於 COVID-19 防治之特殊保護措施？①利用快篩發現個案 ②實施疫苗注射 ③確診者早期接受治療 ④戴口罩 ⑤患者出院後追蹤管理",47,{"webId":40,"stem":41,"number":42,"year":43,"session":31},"nurse-113-1-psychiatric-community-013","根據佛洛伊德學說，人格障礙病人在肛門期受到過度的管教約束，影響心性發展。以下何者為其日後的行為模式？",13,113,{"webId":45,"stem":46,"number":47,"year":43,"session":26},"nurse-113-3-psychiatric-community-007","團體治療中，成員 A 抱怨女兒天天工作忙常見不到人，表示自己辛苦撫養小孩很不值得。成員 B 表示自己女兒也很忙，建議父母要學習自己照顧自己，以上的團體互動最符合何項團體療效因素？",7,{"webId":49,"stem":50,"number":51,"year":52,"session":31},"nurse-115-1-psychiatric-community-005","有關老人憂鬱症的敘述，下列何者錯誤？",5,115,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-106-2-psychiatric-community-029","陳太太在一次大地震中，親眼目睹自己的家園及女兒被海嘯吞噬，而自己也因躲避海嘯而身體多處受傷。事發後，陳太太出現反覆夢見自己被海嘯吞噬的惡夢，不想參加任何活動，對未來抱持悲觀的心態，且不願談論與海嘯有關的話題，出現失眠、易怒等症狀，症狀持續一個月仍未改善，請問陳太太最可能的診斷為何？",29,106,{"webId":59,"stem":60,"number":61,"year":62,"session":10},"nurse-107-2-psychiatric-community-063","針對糖尿病友辦理 20 人的「控糖班」，設計六週課程，預算經費 20,000 元。依據 PRECEDE-PROCEED 模式，是屬於何診斷？",63,107,"2026-09-04",1788510749053]