[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-112-2-psychiatric-community-080":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"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-112-2-精神科與社區衛生護理學-080","nurse-112-2-psychiatric-community-080",112,2,80,"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？",{"A":14,"B":15,"C":16,"D":17},"每日自我檢視足部是否有傷口","每週自我修剪硬皮及雞眼","穿包覆式的鞋子","足部避免使用電熱毯","B",null,[],"本題考點在於糖尿病患者足部自我照顧的衛教。糖尿病患因周邊神經病變導致感覺遲鈍、周邊血管病變致傷口癒合差，不應自行修剪硬皮及雞眼，以免造成不易察覺的傷口而引發感染或潰瘍，這類處理應交由專業人員，本題為反向題，最不適當者為 B，故選 B。A 適當，每日檢視足部有無傷口可早期發現問題。C 適當，穿包覆式鞋子可保護足部避免外傷。D 適當，因感覺遲鈍，使用電熱毯易造成不自覺的燙傷，故應避免。判斷關鍵在於糖尿病足因神經與血管病變，任何自行切割硬皮雞眼的行為都可能造成難以察覺、難以癒合的傷口。","糖尿病足潰瘍的機轉為『神經病變（感覺喪失）＋血管病變（供血不足）＋易感染』三者交互作用。感覺喪失使患者無法察覺小傷或壓迫，血流不足使傷口難癒合，高血糖環境又利於細菌孳生，故任何造成微小傷口的行為（自剪雞眼、赤腳、過熱）都可能演變為潰瘍甚至截肢。足部照護口訣『每日看、溫水洗、擦乾趾縫、穿鞋襪、修剪平剪不剪太短、硬皮交給專業』，正對應本題各選項的正誤。",[24,26,29,31],{"term":25,"count":10},"周邊神經病變",{"term":27,"count":28},"糖尿病足",1,{"term":30,"count":28},"周邊血管病變",{"term":32,"count":28},"足部自我照顧",[34,38,43,47,52,57],{"webId":35,"stem":36,"number":28,"year":9,"session":37},"nurse-112-3-psychiatric-community-001","依據交流分析論（Transactional Analysis）所提出的人類自我狀態（ego state），護理師習慣性的對病人說：「為什麼你總是做錯，你應該……」、「你不可以……」，使得護病關係較為階層化，此為護理師下列何項自我狀態？",3,{"webId":39,"stem":40,"number":41,"year":42,"session":28},"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":44,"stem":45,"number":46,"year":42,"session":37},"nurse-113-3-psychiatric-community-041","為增進原住民之健康識能，下列何者最不適當？",41,{"webId":48,"stem":49,"number":50,"year":51,"session":28},"nurse-115-1-psychiatric-community-039","依食品安全衛生管理法，疑似食物中毒事件的通報期限為：",39,115,{"webId":53,"stem":54,"number":55,"year":56,"session":10},"nurse-106-2-psychiatric-community-063","有關平均餘命之敘述，下列何者錯誤？",63,106,{"webId":58,"stem":59,"number":60,"year":61,"session":10},"nurse-108-2-psychiatric-community-017","林小姐，診斷為鬱症，入院後多躺床，進食量少，入院第一週，體重已由 60 公斤降至 58 公斤，下列護理措施何者最適宜？",17,108,"2026-09-04",1788510749339]