[{"data":1,"prerenderedAt":62},["ShallowReactive",2],{"q-nurse-113-1-psychiatric-community-026":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":31,"lastmod":61},"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-026","nurse-113-1-psychiatric-community-026",113,1,26,"有關基層醫療保健之社區與醫療服務原則，下列何者最不適當？",{"A":14,"B":15,"C":16,"D":17},"可近性（accessibility）","可接受性（acceptability）","可用性（availability）","穩定性（stability）","D",null,[],"本題考點在於基層醫療保健(primary health care)的服務原則。依 WHO 1978 年阿瑪阿塔宣言,基層醫療保健的核心原則(4A)為:可近性(accessibility)、可接受性(acceptability)、可用性(availability)與可負擔性(affordability),強調服務要讓民眾容易到達、符合文化與需求、資源充足可取得、且付得起;「穩定性(stability)」不在此原則之列,故最不適當為 D。A 可近性指地理與時間上易於取得服務;B 可接受性指服務方式符合社區文化、價值與期待,民眾願意使用;C 可用性指有足夠的設施、人力與服務可供利用,三者皆為基層醫療保健的標準原則。","阿瑪阿塔宣言(Alma-Ata, 1978)提出「公元 2000 年全民均健(Health for All)」目標,基層醫療保健為其實踐策略,精神包含:社區參與、跨部門合作、適當科技、公平分配。服務原則 4A 記法:「近、受、用、擔」——Accessibility 可近性、Acceptability 可接受性、Availability 可用性、Affordability 可負擔性(部分教科書再加 Appropriateness 適切性成 5A)。台灣對應實例:衛生所體系、山地離島醫療給付效益提升計畫(IDS)、全民健保低部分負擔設計。命題慣例:選項湊出一個非 A 開頭概念的中譯(穩定性、持續性、權威性等)作為誘答,掌握 4A 原文即可秒判。",[24,27,29],{"term":25,"count":26},"阿瑪阿塔宣言",2,{"term":28,"count":10},"基層醫療保健 4A 原則",{"term":30,"count":10},"全民均健",[32,36,41,46,51,56],{"webId":33,"stem":34,"number":35,"year":9,"session":10},"nurse-113-1-psychiatric-community-027","衛生福利部國民健康署成立青少年好漾館與WHO之SDGs中，那一個議題最為相關？",27,{"webId":37,"stem":38,"number":39,"year":9,"session":40},"nurse-113-3-psychiatric-community-023","對居住於精神護理之家的失智症住民照護原則，下列何者正確？①維持病房生活作息的常規化 ②儘可能維持住民的最大生活功能 ③安排其與同輩進行團體活動 ④經常改變病房佈置以強化定向感訓練 ⑤ 安排每天由不同人員照顧，以強化記憶功能",23,3,{"webId":42,"stem":43,"number":44,"year":45,"session":26},"nurse-114-2-psychiatric-community-017","承上題，對於李同學應採取的護理措施，下列何者最適當？",17,114,{"webId":47,"stem":48,"number":49,"year":50,"session":10},"nurse-106-1-psychiatric-community-015","陳先生，32 歲，罹患思覺失調症（schizophrenia）已 6 年，入院時顯得散漫，不願意參加病房活動，下列那一項護理措施最適合？",15,106,{"webId":52,"stem":53,"number":54,"year":55,"session":10},"nurse-107-1-psychiatric-community-059","從印尼旅遊回國的林小姐，機場通關時，發現體溫為 39℃，就醫後確診為登革熱。下列描述何者正確？①衛生機關要追查同行者暴露史及健康資料 ②感染某一型登革熱病毒患者，對該型病毒仍會重複感染 ③只要入境就須進行檢疫程序 ④登革熱只要服藥治療期間，仍可捐血 ⑤登革熱應儘速於 24 小時內通報",59,107,{"webId":57,"stem":58,"number":59,"year":60,"session":10},"nurse-109-1-psychiatric-community-013","有關鋰鹽 Lithium（Lidin®），下列何項敘述最適切？",13,109,"2026-09-04",1788510751285]