[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-112-3-psychiatric-community-045":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"lastmod":64},"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-112-3-精神科與社區衛生護理學-045","nurse-112-3-psychiatric-community-045",112,3,45,"職業衛生護理師發現某些作業員突有壓力大增、情緒不穩的現象。下列何項措施最不適當？",{"A":14,"B":15,"C":16,"D":17},"評估員工身心壓力狀況","建議服用抗憂鬱藥物","進行異常個案追蹤管理","辦理壓力調適健康講座","B",null,[],"本題考點在於職業衛生護理師面對作業員壓力反應時的角色分際與適當處置範圍。本題為反向題，最不適當敘述為 B「建議服用抗憂鬱藥物」：護理師沒有處方權，藥物須由精神科或身心科醫師依診斷開立，且壓力反應初期以評估與非藥物調適為優先，逕自建議用藥既逾越角色又不合處置階層。考點在於辨識護理師「評估—追蹤—衛教」的功能定位。A 評估員工身心壓力狀況是介入的第一步，屬正確；C 對異常個案進行追蹤管理符合職場健康管理流程；D 辦理壓力調適講座屬健康促進的初段預防，皆為適當措施，故選 B。","職業衛生護理師的核心職能是健康評估、健康促進、異常個案的轉介與追蹤，而非診斷與開藥。可用「評估先於介入、衛教先於用藥」來記憶處置階層：先評估壓力來源與程度，再提供非藥物調適資源，若篩檢出疑似情緒疾患則轉介專科醫師，而非護理師自行建議用藥。此題也連結三段預防概念，講座屬初段、追蹤管理屬次段。",[24,27,29,31],{"term":25,"count":26},"職業衛生護理師角色功能",1,{"term":28,"count":26},"護理師無處方權",{"term":30,"count":26},"壓力調適與健康促進",{"term":32,"count":26},"異常個案追蹤管理",[34,38,44,49,54,59],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-112-3-psychiatric-community-046","有關居家護理師之角色與功能之敘述，下列何者錯誤？",46,{"webId":39,"stem":40,"number":41,"year":42,"session":43},"nurse-113-2-psychiatric-community-042","全民健康保險中，為避免被保險人醫療資源不當使用，所導致的道德危害（moral hazard），採用下列何項措施？",42,113,2,{"webId":45,"stem":46,"number":47,"year":48,"session":26},"nurse-114-1-psychiatric-community-036","王先生參加口腔癌篩檢，表示嘴破未癒合長達一個月，且最近有位同事因口腔癌治療飽受身心之苦，很害怕自己也得了口腔癌，妻子鼓勵他參與篩檢。依據健康信念模式，下列何者是影響王先生採取預防行為的因素？①罹患性認知     ②嚴重性認知   ③行動線索   ④利益性認知   ⑤自我效能",36,114,{"webId":50,"stem":51,"number":52,"year":53,"session":43},"nurse-115-2-psychiatric-community-034","陳小姐想要簽署預立醫療決定書（advance decision, AD），但是考量諮商費用以及時間成本而遲遲沒有採取行動。依據健康信念模式（Health Belief Model），其最主要受下列那一個因子影響？",34,115,{"webId":55,"stem":56,"number":57,"year":58,"session":26},"nurse-107-1-psychiatric-community-028","承上題，護理師對古先生入院時，有關生理、心理、社會、智能以及靈性五大層面評估的重點，下列何者正確？",28,107,{"webId":60,"stem":61,"number":62,"year":63,"session":43},"nurse-108-2-psychiatric-community-062","某研究想探討嚼檳榔與口腔癌是否有相關，研究者找了 50 位口腔癌患者及 50 位無口腔癌患者，並詢問是否有嚼檳榔。根據上述的病例對照研究資料，下列敘述何者正確？",62,108,"2026-09-04",1788510746087]