[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-112-2-psychiatric-community-079":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"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-079","nurse-112-2-psychiatric-community-079",112,2,79,"65 歲陳女士有高血壓及高血脂之狀況，下列何項護理指導最不適當？",{"A":14,"B":15,"C":16,"D":17},"高密度膽固醇高於 50 mg\u002FdL","血壓正常後應暫停服藥觀察","控制收縮壓\u002F舒張壓低於 140 \u002F90 mmHg","可攝取大麥、燕麥及堅果等高纖食物","B",null,[],"本題考點在於高血壓合併高血脂個案的護理指導原則。高血壓用藥須長期規則服用以維持血壓穩定，血壓一旦正常也不可自行停藥，擅自停藥會導致血壓反彈升高、增加中風與心血管事件風險，本題為反向題，最不適當者為 B，故選 B。A 適當，高密度膽固醇（HDL）高於 50 mg\u002FdL 屬理想，具心血管保護作用。C 適當，一般成人血壓控制目標為收縮壓\u002F舒張壓低於 140\u002F90 mmHg。D 適當，攝取大麥、燕麥、堅果等高纖與含可溶性纖維食物有助降低膽固醇。判斷關鍵在於高血壓藥物須持續服用，不可因血壓正常而自行停藥。","高血壓多為慢性且需長期控制的疾病，藥物是控制而非根治，血壓正常正代表藥物有效，此時停藥會使血壓再度升高（反彈），故『血壓正常就停藥觀察』是常見且危險的用藥迷思，B 因此最不適當。HDL（好膽固醇）越高越具保護力（男性 >40、女性 >50 mg\u002FdL 較佳），與 LDL（壞膽固醇）越低越好相對；可溶性膳食纖維（燕麥、大麥中的 β-葡聚糖）可在腸道結合膽酸、降低血中膽固醇。",[24,27,29,31],{"term":25,"count":26},"高血壓用藥遵從性",1,{"term":28,"count":26},"停藥血壓反彈",{"term":30,"count":26},"高密度膽固醇HDL",{"term":32,"count":26},"可溶性膳食纖維",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-112-2-psychiatric-community-080","社區護理師教導糖尿病患者足部自我照顧的內容，下列何者最不適當？",80,{"webId":39,"stem":40,"number":41,"year":42,"session":26},"nurse-113-1-psychiatric-community-046","有關出院準備服務之敘述，下列何者最不適當？",46,113,{"webId":44,"stem":45,"number":46,"year":42,"session":47},"nurse-113-3-psychiatric-community-040","依據杜瓦爾及米勒（Duvall & Miller）的家庭發展階段理論，有關生育期家庭（early childbearing family）之發展任務，下列何者最不適當？",40,3,{"webId":49,"stem":50,"number":51,"year":52,"session":26},"nurse-115-1-psychiatric-community-038","下列何者為室內空氣品質的指標？",38,115,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-106-2-psychiatric-community-062","生命統計中，常用到比例（ratio），下列何者不包含在內？",62,106,{"webId":59,"stem":60,"number":61,"year":62,"session":10},"nurse-108-2-psychiatric-community-016","林小姐，診斷為思覺失調症，目前於精神復健病房住院，偶有自笑自語，衣服常有異味，病床單位凌亂，常躺床少與人互動。有關林小姐目前的精神復健目標，下列何項優先？",16,108,"2026-09-04",1788510749331]