[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-112-2-psychiatric-community-054":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":35,"lastmod":65},"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-054","nurse-112-2-psychiatric-community-054",112,2,54,"有關預防校園腸病毒措施，下列何項最適當？",{"A":14,"B":15,"C":16,"D":17},"加強腸病毒疫苗接種","加強個人衛生常洗手","可用 500 ppm 濃度漂白水進行消毒","得過腸病毒的學童就不會再被感染","B",null,[],"本題考點在於腸病毒的預防重點。腸病毒主要經由糞口與飛沫傳染，依傳染病防治原則，切斷傳染途徑最有效的方式是勤洗手、維持個人衛生，故正解為 B。A 錯在目前腸病毒疫苗僅腸病毒 71 型有公費接種，並無「加強接種」可涵蓋所有型別的做法，非最適當通則。C 看似合理，但校園環境消毒的標準濃度是 500 ppm 含氯漂白水並無錯，只是與「最適當的預防措施」相比，勤洗手屬第一線且成本最低，且此題以個人防護為核心。D 錯在腸病毒有多種血清型，得過一型仍可能被其他型別感染，不具終身免疫，屬明顯錯誤敘述。綜合比較，個人衛生勤洗手為最適當的日常預防措施。","腸病毒屬小 RNA 病毒（Picornavirus），血清型多達數十種（如克沙奇病毒、伊科病毒、腸病毒 71 型），型別間缺乏交叉保護，這正是 D 選項錯誤的機轉基礎。腸病毒對酒精抗性強，酒精乾洗手效果差，須以肥皂濕洗手搓洗，這也是為何「勤洗手」勝過酒精消毒被列為最適當措施。校園環境消毒才用 500 ppm 含氯漂白水（1000 ppm 用於明顯污染區），可與洗手概念對照記憶。",[24,27,29,31,33],{"term":25,"count":26},"腸病毒",1,{"term":28,"count":26},"糞口與飛沫傳染",{"term":30,"count":26},"洗手防護",{"term":32,"count":26},"腸病毒血清型",{"term":34,"count":26},"含氯漂白水消毒",[36,40,45,50,55,60],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-112-2-psychiatric-community-055","社區護理師執行均衡飲食計畫後，評價使用的人力、物力及經費與成果的關係，是屬於何種評價？",55,{"webId":41,"stem":42,"number":43,"year":44,"session":26},"nurse-113-1-psychiatric-community-021","孫先生於精神科病房出院後，規則服藥，病情穩定，但面臨經濟困境及就業需求。護理師為協助其發展經濟及就業，必須具有下列何項實務能力？",21,113,{"webId":46,"stem":47,"number":48,"year":44,"session":49},"nurse-113-3-psychiatric-community-015","畏避型人格障礙症（avoidant personality disorder）臨床特徵的敘述，下列何者最適切？",15,3,{"webId":51,"stem":52,"number":53,"year":54,"session":26},"nurse-115-1-psychiatric-community-013","​林 先生，躁症發作（manic episode）住院，在病房客廳對著病友們滔滔不絕的批判醫護人員、醫院設施，並表示要投訴媒體。下列何項最適宜此時護理處置？",13,115,{"webId":56,"stem":57,"number":58,"year":59,"session":10},"nurse-106-2-psychiatric-community-037","承上題，王先生面對此雙重打擊，有關其反應與調適的敘述，下列何者正確？",37,106,{"webId":61,"stem":62,"number":63,"year":64,"session":10},"nurse-107-2-psychiatric-community-071","李大明，20 歲，平地原住民男性，平時有抽菸、嚼檳榔、飲酒習慣，第一次參加社區健康篩檢活動，他可以參加下列何項篩檢項目？",71,107,"2026-09-04",1788510749130]