[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-113-1-psychiatric-community-022":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"lastmod":65},"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-113-1-精神科與社區衛生護理學-022","nurse-113-1-psychiatric-community-022",113,1,22,"有關社區心理衛生工作之敘述，下列何者屬於第三級預防工作？",{"A":14,"B":15,"C":16,"D":17},"加強門診治療功能","在里民中心辦理心理衛生講座","對社區中有高度自傷危險者給予危機處置","協助精神病人重返社區生活","D",null,[],"本題考點在於 Caplan 三級預防模式在社區心理衛生的應用。依三級預防概念:初級預防是在疾病發生前促進心理健康、減少發生率(如心理衛生講座);次級預防是早期發現、早期治療,縮短病程(如門診治療、危機處置);三級預防是針對已罹病者減少殘障、促進復健與回歸社會。「協助精神病人重返社區生活」正是復健與再社會化,屬第三級預防,故選 D。A 加強門診治療功能屬次級預防的早期治療;B 里民中心心理衛生講座是對一般民眾的健康促進,屬初級預防;C 對高自傷危險者危機處置屬次級預防的早期介入,防止惡化。","Caplan(1964)社區心理衛生三級預防:初級=降低發生率(incidence),對象是健康人與高風險族群,如壓力調適教育、心理健康促進;次級=降低盛行率(prevalence),透過篩檢、早期診斷、危機處置、及時治療縮短病程;三級=降低殘障率,包含精神復健、日間病房、社區復健中心、康復之家、職業訓練、去污名化與再社會化。記憶口訣:「一防發生、二早治療、三復健回歸」。對照 Leavell & Clark 五段三級:三級預防對應「限制殘障」與「復健」兩段。命題慣例:「重返社區」「復健」「康復之家」=三級;「篩檢」「危機處置」「早期治療」=次級;「講座」「宣導」「促進」=初級。",[24,27,30,32],{"term":25,"count":26},"精神復健",15,{"term":28,"count":29},"社區心理衛生",5,{"term":31,"count":10},"Caplan 三級預防模式",{"term":33,"count":10},"五段三級預防",[35,39,44,50,55,60],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-113-1-psychiatric-community-023","災難急性期運用安心團體（debriefing），下列敘述何者最適切？",23,{"webId":40,"stem":41,"number":42,"year":9,"session":43},"nurse-113-3-psychiatric-community-019","有關社區精神心理衛生的護理過程，下列敘述何者最適切？",19,3,{"webId":45,"stem":46,"number":47,"year":48,"session":49},"nurse-114-2-psychiatric-community-013","有關思覺失調症正性症狀（positive symptoms）之行為表徵，下列何者正確？",13,114,2,{"webId":51,"stem":52,"number":53,"year":54,"session":10},"nurse-106-1-psychiatric-community-011","用鋰鹽的病人，若服用以下那類藥物會引起鋰鹽在血液的濃度增加之危險，下列何項正確？①血清素及甲基腎上腺回收抑制劑（serotonin and norepinephrine reuptake inhibitor, SNRI，如 venlafaxine） ②血管收縮素轉換酵素抑制劑（angiotension-coverting enzyme inhibitor, ACE-inhibitor，如抗高血壓藥，captopril） ③非類固醇抗發炎劑（non-steroid anti-inflammatory drug, NSAID，如 ibuprofen） ④利尿劑（如 thiazide）",11,106,{"webId":56,"stem":57,"number":58,"year":59,"session":10},"nurse-107-1-psychiatric-community-055","根據 2015 衛生福利部年報，下列敘述何者不是臺灣人口結構現況？",55,107,{"webId":61,"stem":62,"number":63,"year":64,"session":10},"nurse-109-1-psychiatric-community-009","陳護理師與李先生進行支持性心理治療，每次討論到工作挫折時，李先生總是表示不想討論，護理師再次引導李先生表達，病人就表示要停止會談。李先生呈現的是下列何種行為？",9,109,"2026-09-04",1788510751246]