[{"data":1,"prerenderedAt":67},["ShallowReactive",2],{"q-nurse-112-3-psychiatric-community-049":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":35,"lastmod":66},"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-049","nurse-112-3-psychiatric-community-049",112,3,49,"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：",{"A":14,"B":15,"C":16,"D":17},"初段預防的健康促進","次段預防的早期篩檢","次段預防的早期治療","三段預防的限制殘障","D",null,[],"本題考點在於三段五級預防的分級判定，須依個案『是否已有疾病與失能』來歸類。張先生已被醫師診斷為輕型認知障礙症，屬於已發病階段，將他轉介至社區巷弄據點參與活動，目的在延緩功能退化、維持既有能力、避免進一步失能，符合三段預防中『限制殘障』的定義，故選 D。A 初段預防的健康促進針對尚未發病者；B、C 次段預防的早期篩檢與早期治療針對疾病早期未確診或剛確診需及時處置者；本題個案已確診且措施重點在延緩退化而非篩檢或治療，故選 D。","三段五級預防記憶：初段（健康促進、特殊保護）針對健康者；次段（早期診斷治療）針對疾病早期；三段（限制殘障、復健）針對已病並防止惡化與失能。判斷關鍵在『個案處於疾病自然史的哪一段』與『措施目的』。此題已確診 MCI，措施目的是延緩退化維持功能，落在三段的限制殘障。此類題誘答常在次段與三段間游移，須抓住『已失能傾向、延緩惡化』的線索。",[24,27,30,32],{"term":25,"count":26},"三段五級預防",27,{"term":28,"count":29},"限制殘障",4,{"term":31,"count":29},"疾病自然史",{"term":33,"count":34},"認知障礙社區照護",1,[36,40,46,51,56,61],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-112-3-psychiatric-community-050","下列何者不是慢性腎臟病的危險因子？",50,{"webId":41,"stem":42,"number":43,"year":44,"session":45},"nurse-113-2-psychiatric-community-046","評估個案的失能狀況，下列何項身體功能評估工具最不適當？",46,113,2,{"webId":47,"stem":48,"number":49,"year":50,"session":34},"nurse-114-1-psychiatric-community-040","護理師進行家訪時發現，李奶奶因患有退化性骨關節炎而行動不便，李爺爺則患有高血壓和糖尿病，已定期回診並規律服藥控制。下列何者為此家庭最優先的個案管理目標？",40,114,{"webId":52,"stem":53,"number":54,"year":55,"session":45},"nurse-115-2-psychiatric-community-038","未充分殺菌的醃漬食品及真空包裝所導致的食物中毒，下列何者是最可能的病原體？",38,115,{"webId":57,"stem":58,"number":59,"year":60,"session":34},"nurse-107-1-psychiatric-community-032","下列關於治療注意力不足／過動症藥物 methylphenidate（Ritalin ® ）的描述，何者正確？",32,107,{"webId":62,"stem":63,"number":64,"year":65,"session":45},"nurse-108-2-psychiatric-community-066","有關以賦權概念營造健康支持性環境的敘述，下列何者錯誤？",66,108,"2026-09-04",1788510746119]