[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-113-2-psychiatric-community-046":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"lastmod":62},"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-046","nurse-113-2-psychiatric-community-046",113,2,46,"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？",{"A":14,"B":15,"C":16,"D":17},"工具式日常生活量表（IADLs）","日常生活活動量表（ADLs）","修正版柯式量表（modifed Karnofsky scale）","簡易智能量表（MMSE）","D",null,[],"本題考點在於失能「身體功能」評估工具的適用範圍,屬反向題,要找出「最不適當」者。錯誤選項為 D:簡易智能量表(MMSE)。MMSE 評估的是認知功能(定向、記憶、注意力、語言等),用於篩檢失智與認知障礙,並非測量身體活動功能,用來評估身體功能失能狀況最不適當,故選 D。選項 A 工具式日常生活量表(IADLs)評估購物、備餐、理財等需較高功能的日常活動;選項 B 日常生活活動量表(ADLs)評估進食、盥洗、如廁、移位等基本身體自理能力;選項 C 修正版柯氏量表(Karnofsky)以百分制評估個案整體體能與自我照顧的功能表現。A、B、C 皆直接測量身體功能表現,唯 D 測認知。判斷關鍵在於分辨「身體功能量表」與「認知功能量表」。","功能評估分類:身體\u002F生活功能→ADLs(基本自理,Barthel\u002FKatz)、IADLs(工具性活動,Lawton)、Karnofsky(整體體能百分制,常用於腫瘤與安寧);認知功能→MMSE、MoCA、CDR、SPMSQ。失能程度多以 ADLs\u002FIADLs 依賴項目數判定。MMSE 雖是老年評估常用工具,但屬認知面向,誤用於身體功能失能判定即為本題陷阱。",[24,27,29,31],{"term":25,"count":26},"身體功能評估工具",1,{"term":28,"count":26},"ADLs 與 IADLs",{"term":30,"count":26},"Karnofsky 體能量表",{"term":32,"count":26},"MMSE 認知功能量表",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-113-2-psychiatric-community-047","有關長期照護中社區式照護的資源，下列何者不適當？",47,{"webId":39,"stem":40,"number":41,"year":42,"session":26},"nurse-114-1-psychiatric-community-043","下列那些是骨質疏鬆的危險因子？①體重過重   ②飲食含鹽量過少   ③缺乏運動   ④飲酒過量   ⑤ 甲狀腺機能亢進",43,114,{"webId":44,"stem":45,"number":46,"year":42,"session":47},"nurse-114-3-psychiatric-community-037","有關細菌性食物中毒，下列敘述何者最適當？",37,3,{"webId":49,"stem":50,"number":51,"year":52,"session":10},"nurse-106-2-psychiatric-community-005","治療者詢問團體中其他成員：「大家是否有類似的感受或經驗？」請問治療者的用意為何？",5,106,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-107-2-psychiatric-community-049","5 個月大的小旬，應完成下列何種疫苗接種？",49,107,{"webId":59,"stem":60,"number":47,"year":61,"session":10},"nurse-109-2-psychiatric-community-003","鋰鹽（lithium）是治療雙相情緒障礙症（bipolar disorder）之重要的情緒穩定劑，當病人持續使用鋰鹽治療時，必須定期醫療檢查的項目，下列何項正確？①肝臟功能 ②腎臟功能 ③甲狀腺功能 ④肺臟功能",109,"2026-09-04",1788510756156]