[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-112-3-psychiatric-community-048":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-048","nurse-112-3-psychiatric-community-048",112,3,48,"王女士，76 歲，被診斷為糖尿病，空腹血糖值為 250 mg\u002FdL，主訴定期回診接受治療。社區護理師對於王女士之照護措施，下列何項最不適當？",{"A":14,"B":15,"C":16,"D":17},"建議定期檢測血糖","評估藥物使用狀況","評估運動狀況","建議禁止吃多醣類澱粉","D",null,[],"本題考點在於社區糖尿病個案的飲食衛教原則與血糖自我管理。本題為反向題，最不適當措施為 D「建議禁止吃多醣類澱粉」：多醣類澱粉（如全穀根莖）是醣類主要且較穩定的來源，糖尿病飲食強調的是總醣量控制、定時定量與選擇低升糖指數食物，而非全面禁食澱粉，過度限制反而造成營養不均與低血糖風險。考點在於辨識『控制份量』與『完全禁止』的差別。A 定期檢測血糖有助自我監測、B 評估藥物使用狀況可掌握順從性與療效、C 評估運動狀況有助血糖控制，皆為適當照護，故選 D。","糖尿病營養原則核心是『均衡、定量、擇優』，醣類仍應佔總熱量約 50%，重點在選擇複合性醣類與計算份量，而非零澱粉。空腹血糖 250 mg\u002FdL 屬控制不佳，須綜合檢視飲食、運動、用藥三面向。記憶要訣：衛教語言用『適量、選對』取代『禁止、不能吃』，避免造成過度限制與飲食焦慮。",[24,27,29,31],{"term":25,"count":26},"糖尿病飲食衛教",1,{"term":28,"count":26},"醣類份量控制",{"term":30,"count":26},"血糖自我監測",{"term":32,"count":26},"社區慢性病照護",[34,38,44,49,54,59],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-112-3-psychiatric-community-049","張先生近來被子女發現會忘記一些日常事情，醫師診斷為輕型認知障礙症（Mild Neurocognitive Disorder），家人不放心他白天一人在家，共照個管師與個案和家人商議後，轉介他至其居住所在的巷弄據點，於是張先生每週有三個早上會自己騎車至據點活動與吃午餐。這樣的措施是屬於：",49,{"webId":39,"stem":40,"number":41,"year":42,"session":43},"nurse-113-2-psychiatric-community-045","有關社區護理師於長期照護之角色與職責，下列何者最不適當？",45,113,2,{"webId":45,"stem":46,"number":47,"year":48,"session":26},"nurse-114-1-psychiatric-community-039","有關紫外線防護之護理指導，下列何者最不適當？",39,114,{"webId":50,"stem":51,"number":52,"year":53,"session":43},"nurse-115-2-psychiatric-community-037","有關常見室內空氣污染物及其對健康的影響之敘述，下列何者最不適當？",37,115,{"webId":55,"stem":56,"number":57,"year":58,"session":26},"nurse-107-1-psychiatric-community-031","下列何種疾患最常與飲食障礙症成為共病？",31,107,{"webId":60,"stem":61,"number":62,"year":63,"session":43},"nurse-108-2-psychiatric-community-065","依據 106 年「勞工健康保護規則」規範，雇主僱用勞工時，應就規定項目實施一般體格檢查，此檢查紀錄應至少保存多久？",65,108,"2026-09-04",1788510746115]