[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-113-2-psychiatric-community-031":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"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-113-2-精神科與社區衛生護理學-031","nurse-113-2-psychiatric-community-031",113,2,31,"護理師排定社區健康問題優先順序，下列何者需優先處理？",{"A":14,"B":15,"C":16,"D":17},"社區出現疑似肺結核個案","社區婦女乳房攝影篩檢率低","社區糖尿病照護資源不足","社區長者衰弱症盛行率高","A",null,[],"本題考點在於社區健康問題優先順序的排定,核心原則是「傳染性、急迫性、危害擴散速度」高者優先。社區出現疑似肺結核個案具開放性傳染風險,可能經飛沫核持續感染他人,需立即通報、匡列接觸者並介入以阻斷傳播鏈,急迫性最高,故選 A。選項 B 乳房攝影篩檢率低屬慢性疾病的次段預防指標,可循計畫逐步提升,不具立即傳染威脅;選項 C 糖尿病照護資源不足是資源規劃問題,影響重要但非急性擴散;選項 D 長者衰弱症盛行率高屬需長期介入的健康促進議題,亦無立即傳染性。判斷關鍵在於「是否具有立即且可擴散的公共衛生威脅」,傳染病一律優先。","社區健康問題排序常用考量:問題嚴重度、影響範圍、急迫性(時效)、可解決性與社區意願。傳染病(尤其法定傳染病如結核)因具外溢性與時效性,在排序上恆優先於慢性病與健康促進議題。結核為第三類法定傳染病,確診須一週內通報;疑似個案即應啟動接觸者追蹤與胸部 X 光\u002F驗痰,體現「阻斷傳播優先於個別慢病管理」的公衛邏輯。",[24,27,29,31],{"term":25,"count":26},"結核病防治",4,{"term":28,"count":10},"社區健康問題優先順序",{"term":30,"count":10},"傳染病急迫性",{"term":32,"count":33},"公共衛生威脅評估",1,[35,39,44,49,54,59],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-113-2-psychiatric-community-032","有關決定社區護理診斷排序的考量因素，下列何者最不適當？",32,{"webId":40,"stem":41,"number":42,"year":43,"session":33},"nurse-114-1-psychiatric-community-028","有關流行病學的敘述，下列何者最不適當？",28,114,{"webId":45,"stem":46,"number":47,"year":43,"session":48},"nurse-114-3-psychiatric-community-022","有關妄想症（delusional disorder），下列敘述何者最適當？",22,3,{"webId":50,"stem":51,"number":52,"year":53,"session":33},"nurse-106-1-psychiatric-community-070","學童在校內打球時突然倒下，有關護理師急救的處置，下列何者錯誤？",70,106,{"webId":55,"stem":56,"number":57,"year":58,"session":10},"nurse-107-2-psychiatric-community-034","在評估個人危機中對壓力事件的理解與感覺時，下列何者正確？①評估個人在生理、角色及人際的變化，以了解事件對個人的影響 ②了解面對壓力事件的反應行為、因應與防禦機制 ③評估不適應及壓力症狀出現的時間 ④擴展會談議題，不以壓力事件為核心",34,107,{"webId":60,"stem":61,"number":62,"year":63,"session":33},"nurse-109-1-psychiatric-community-068","依據跨理論模式（transtheoretical model），王女士陳述「我想要運動，但就是找不到時間。如果我能每週運動三天，我對於自己的感覺會比較好。」，是屬於下列何種改變階段（stages of change）？",68,109,"2026-09-04",1788510756033]