[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-114-1-psychiatric-community-035":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-114-1-精神科與社區衛生護理學-035","nurse-114-1-psychiatric-community-035",114,1,35,"依據加拿大衛生福利部於1974年提出的影響健康的四大要素，下列那一項對健康的影響最大？",{"A":14,"B":15,"C":16,"D":17},"提供基因檢測","控制環境中PM 2.5濃度","廣推在宅醫療","鼓勵民眾實踐健康生活","D",null,[],"本題考點在於加拿大 Lalonde 報告（1974）提出影響健康四大要素及其相對重要性。依 Lalonde 報告，健康四大決定因素為生活型態、環境、遺傳（生物）與醫療照護體系，其中「生活型態」對健康的影響最大。選項中「鼓勵民眾實踐健康生活」正對應生活型態的改善，故選 D。A「提供基因檢測」對應遺傳（生物）因素。B「控制環境 PM2.5 濃度」對應環境因素。C「廣推在宅醫療」對應醫療照護體系因素。四者雖各對應一大要素，但依報告結論生活型態影響最大，故最能提升健康者為 D，正解為 D。","Lalonde 報告是公共衛生從醫療導向轉向健康促進的里程碑，指出過去資源多投注於醫療體系，但生活型態（飲食、運動、菸酒、作息）對健康影響最大，促成後續渥太華憲章與健康促進運動。四要素中，生活型態最可改變且效益最高。",[24,27,30,32],{"term":25,"count":26},"健康促進",17,{"term":28,"count":29},"生活型態",2,{"term":31,"count":10},"Lalonde報告",{"term":33,"count":10},"健康四大決定因素",[35,39,44,49,54,59],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-114-1-psychiatric-community-036","王先生參加口腔癌篩檢，表示嘴破未癒合長達一個月，且最近有位同事因口腔癌治療飽受身心之苦，很害怕自己也得了口腔癌，妻子鼓勵他參與篩檢。依據健康信念模式，下列何者是影響王先生採取預防行為的因素？①罹患性認知     ②嚴重性認知   ③行動線索   ④利益性認知   ⑤自我效能",36,{"webId":40,"stem":41,"number":42,"year":9,"session":43},"nurse-114-3-psychiatric-community-032","進行社區健康評估時，蒐集社區提供獨居老人共餐情形，主要是下列何種系統的資料蒐集？",32,3,{"webId":45,"stem":46,"number":47,"year":48,"session":29},"nurse-115-2-psychiatric-community-026","下列何者為現行偏鄉與離島醫療照護之政策？①建構偏鄉數位資訊醫療照護網 ②推動空中轉診為主、在地醫療為輔的政策 ③積極興建醫學中心以保障偏遠地區民眾就醫權益 ④以醫師不動病人動為照護原則",26,115,{"webId":50,"stem":51,"number":52,"year":53,"session":10},"nurse-107-1-psychiatric-community-014","工作期是護理師與病人彼此已建立信任感，面對問題有共識，關於工作期的主要任務為下列何者？",14,107,{"webId":55,"stem":56,"number":57,"year":58,"session":29},"nurse-108-2-psychiatric-community-058","根據世界衛生組織的定義，所謂超高齡社會是指該國家 65 歲以上老年人口占總人口比率為何？",58,108,{"webId":60,"stem":61,"number":62,"year":63,"session":10},"nurse-110-1-psychiatric-community-012","躁症發作（manic episode）的典型臨床特徵，下列何者較適當？",12,110,"2026-09-04",1788510758385]