[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-113-2-psychiatric-community-037":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":35,"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-113-2-精神科與社區衛生護理學-037","nurse-113-2-psychiatric-community-037",113,2,37,"社區護理師欲進行校園肺結核護理指導，下列何項主題較符合第一段預防的概念？",{"A":14,"B":15,"C":16,"D":17},"肺結核的藥物治療","環境通風的重要性","肺結核診斷法","抗藥性肺結核嚴重性","B",null,[],"本題考點在於三段五級預防的分段判定,重點在「第一段(初段)預防」涵蓋健康促進與特殊保護,目的是在疾病發生前降低暴露與危險因子。校園肺結核指導中「環境通風的重要性」屬減少飛沫核在密閉空間累積、防止感染發生的特殊保護措施,符合第一段預防,故選 B。選項 A 藥物治療與選項 D 抗藥性結核的處置,都是已發病後的治療與併發症防治,屬第三段預防;選項 C 診斷法(篩檢、驗痰、X 光)目的是早期發現、早期治療,屬第二段(次段)預防。判斷關鍵在於分辨介入是發生在「發病前(初段)、早期發現(次段)還是治療復健(三段)」。","三段預防對照:初段=健康促進(衛教、營養)＋特殊保護(疫苗、通風、防護具),對象是健康者;次段=早期診斷與治療(篩檢、TB 接觸者胸部 X 光),對象是無症狀早期患者;三段=限制殘障與復健(規則服藥防抗藥、肺功能復健),對象是已病者。結核以卡介苗與環境通風為初段防護重點,通風可稀釋並排除含菌飛沫核,是典型的特殊保護措施。",[24,27,30,33],{"term":25,"count":26},"三段五級預防",27,{"term":28,"count":29},"結核病防治",4,{"term":31,"count":32},"第一段預防(健康促進與特殊保護)",1,{"term":34,"count":32},"環境通風防飛沫核",[36,40,45,50,55,60],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-113-2-psychiatric-community-038","有關職業健康危害因子，下列何者不屬於物理性危害？",38,{"webId":41,"stem":42,"number":43,"year":44,"session":32},"nurse-114-1-psychiatric-community-034","有關自我效能（self-efficacy）之敘述，下列何者最不適當？",34,114,{"webId":46,"stem":47,"number":48,"year":44,"session":49},"nurse-114-3-psychiatric-community-028","有關腸病毒，下列敘述何者最不適當？",28,3,{"webId":51,"stem":52,"number":53,"year":54,"session":32},"nurse-106-1-psychiatric-community-076","世界衛生組織倡導的「高齡友善城市」所包括的面向，下列何者錯誤？",76,106,{"webId":56,"stem":57,"number":58,"year":59,"session":10},"nurse-107-2-psychiatric-community-040","依據伯姆漢（Blomhoff）及多位國內學者提出評估病人的暴力危險因子，下列描述暴力危險因子何項最適當？",40,107,{"webId":61,"stem":62,"number":63,"year":64,"session":32},"nurse-109-1-psychiatric-community-074","為使住院病童於社區獲得持續性的照護，下列何者最適當？",74,109,"2026-09-04",1788510756079]