[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-113-3-psychiatric-community-049":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"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-113-3-精神科與社區衛生護理學-049","nurse-113-3-psychiatric-community-049",113,3,49,"有關預防長者跌倒評估的敘述，下列何者最不適當？",{"A":14,"B":15,"C":16,"D":17},"步態與平衡是老人跌倒的重要預測因子","白內障、失禁或認知功能退化等因素會提高跌倒風險","穿著魔鬼氈固定且鞋底較厚重的鞋子能降低跌倒發生","評估居家環境安全時，若浴室地板濕滑可建議使用防滑墊","C",null,[],"本題考點在於長者跌倒風險評估與預防措施的正確性，為反向題，須挑出最不適當者。依老人跌倒防治原則，鞋具應合腳、鞋底防滑且不宜過厚重，過厚重的鞋底會降低足部本體感覺、增加絆倒風險，因此 C 敘述錯誤，為本題答案。A 步態與平衡確為公認的跌倒重要預測因子，敘述正確；B 白內障影響視力、失禁增加夜間如廁跌倒、認知退化降低危險判斷，均是確立的危險因子；D 浴室濕滑地板使用防滑墊是合理的居家環境安全改善，敘述正確，故三者皆適當。","跌倒是多因子事件，評估分內在因子（步態平衡、視力、認知、失禁、姿位性低血壓、用藥）與外在因子（地面濕滑、照明不足、障礙物、不當鞋具）。鞋具原則常被誤解：合腳、鞋底薄而防滑、有後跟包覆最佳，厚底或高跟都不利平衡。可用 Timed Up and Go、Morse 跌倒量表輔助評估。記憶陷阱在「魔鬼氈固定」聽似安全，但真正致命的是「鞋底厚重」。",[24,27,29,31],{"term":25,"count":26},"跌倒風險評估",1,{"term":28,"count":26},"步態與平衡",{"term":30,"count":26},"居家環境安全",{"term":32,"count":26},"防滑鞋具",[34,38,44,49,54,59],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-113-3-psychiatric-community-050","世界衛生組織提出延緩失能的六大能力，有關「長者整合性照護指引（Integrated care for older people, ICOPE）」之評估項目，下列何者最適當？",50,{"webId":39,"stem":40,"number":41,"year":42,"session":43},"nurse-114-2-psychiatric-community-046","78 歲吳爺爺，因糖尿病控制不佳導致雙下肢足部皮膚出現潰瘍傷口，行動不便，需每個月至醫院回診。有關吳爺爺可申請的長照資源，下列何者最不適當？",46,114,2,{"webId":45,"stem":46,"number":47,"year":48,"session":26},"nurse-115-1-psychiatric-community-040","有關家庭的成長性和情境性危機敘述，下列何者正確？①成長性危機通常是可預測的      ②情境性危機是專指負向事件   ③中頭彩可能造成家庭的情境性危機   ④外派進修屬成長性危機",40,115,{"webId":50,"stem":51,"number":52,"year":53,"session":43},"nurse-106-2-psychiatric-community-058","有關我國長期照顧十年計畫 2.0 喘息服務的描述，下列何者正確？",58,106,{"webId":55,"stem":56,"number":57,"year":58,"session":43},"nurse-108-2-psychiatric-community-022","與高齡老人一同翻閱家族相簿，回憶美好時光與成功經驗，提升其自尊與自信的治療為何？",22,108,{"webId":60,"stem":61,"number":62,"year":63,"session":43},"nurse-109-2-psychiatric-community-056","有關講述法之敘述，下列何者正確？",56,109,"2026-09-04",1788510753844]