[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-114-1-psychiatric-community-040":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-114-1-精神科與社區衛生護理學-040","nurse-114-1-psychiatric-community-040",114,1,40,"護理師進行家訪時發現，李奶奶因患有退化性骨關節炎而行動不便，李爺爺則患有高血壓和糖尿病，已定期回診並規律服藥控制。下列何者為此家庭最優先的個案管理目標？",{"A":14,"B":15,"C":16,"D":17},"鼓勵李奶奶進行關節置換術，提高自主生活能力","監測並管理李爺爺的服藥遵從性","提供居家安全評估，減少跌倒和其他意外事件的發生","安排社交活動，促進心理健康和社交互動","C",null,[],"本題考點在於社區個案家庭照護的優先順序判斷。依馬斯洛需求層次與安全優先原則，李奶奶因退化性骨關節炎行動不便，跌倒風險高，直接威脅生命安全，屬最迫切且可立即介入的問題，故C提供居家安全評估、減少跌倒最優先，選C。A 關節置換屬侵入處置，非護理最優先且須醫療團隊評估；B 李爺爺已規律服藥、控制良好，遵從性非當前最急；D 社交活動屬心理社會層次，優先度低於安全需求。故答案為C。","社區個案管理排序原則：生命安全（跌倒、外傷）＞生理維持＞心理社會。老人居家跌倒可致髖骨骨折、長期臥床甚至死亡，故環境安全評估（照明、扶手、防滑、動線）常為高齡家庭首要介入，勝過已穩定控制的慢性病或社交需求。",[24,27,29,31],{"term":25,"count":26},"馬斯洛需求層次",10,{"term":28,"count":10},"個案管理優先順序",{"term":30,"count":10},"居家安全評估",{"term":32,"count":10},"跌倒防範",[34,38,43,49,54,59],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-114-1-psychiatric-community-041","下列何者不屬於衛生福利部107年度原鄉健康不平等之改善策略行動計畫？",41,{"webId":39,"stem":40,"number":41,"year":9,"session":42},"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":44,"stem":45,"number":46,"year":47,"session":48},"nurse-115-2-psychiatric-community-031","根據華倫（Warren）的社區功能理論，下列何者為「社會控制」功能？",31,115,2,{"webId":50,"stem":51,"number":52,"year":53,"session":10},"nurse-107-1-psychiatric-community-019","陳先生，48 歲，診斷思覺失調症，入院第 4 天，表示自己是孫悟空齊天大聖，具有七十二變的能力，活動量大，時有膜拜行為，表示看到觀世音菩薩降臨，偶有做出打鬥行為，表示要與邪魔鬥法，無法安靜用餐，進食量差，必須提醒下才可完成自我照顧，下列那一項護理措施最適切？",19,107,{"webId":55,"stem":56,"number":57,"year":58,"session":48},"nurse-108-2-psychiatric-community-063","有關新型 A 型流感之描述，下列何者正確？①H1N1, H3N2 屬於每年週期性流行的流感 ②致死率約為 80～90% ③常見於禽鳥病毒傳染人類，如：H7N9, H5N1 ④密切接觸者須自主健康管理 5 天 ⑤發現個案須於 48 小時內通報",63,108,{"webId":60,"stem":61,"number":62,"year":63,"session":10},"nurse-110-1-psychiatric-community-017","鬱症發作（depressive episode）的典型臨床特徵，下列何者較適當？",17,110,"2026-09-04",1788510758423]