[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-114-1-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-114-1-精神科與社區衛生護理學-049","nurse-114-1-psychiatric-community-049",114,1,49,"林先生56歲，身高167公分，體重82公斤，喜歡吃滷五花肉，經常便秘，初次檢查結果顯示血中總膽固醇（total cholesterol）數值為245 mg\u002FdL，三酸甘油酯（triglyceride）的數值為230 mg\u002FdL。護理師提供的衛教重點下列那一項最適當？",{"A":14,"B":15,"C":16,"D":17},"建議優先服用藥物控制膽固醇及三酸甘油酯","衛教烹飪以快炒或油煎方式取代滷五花肉","衛教選擇高纖維飲食並減少高油脂的食物攝取","身體質量指數為體重過重，建議一天至少運動30分鐘","C",null,[],"本題考點在於高血脂個案的飲食衛教優先原則。依營養與心血管照護原則，個案總膽固醇245、三酸甘油酯230均偏高，且愛吃滷五花肉、常便秘，最適切的是C衛教選擇高纖維飲食並減少高油脂食物，可同時降血脂並改善便秘，故選C。A 初次發現且未達立即用藥指標，應先以生活型態調整為第一線，非優先服藥；B 快炒、油煎仍屬高油烹調，未減少油脂攝取；D 雖BMI約29屬過重、運動有益，但面對高油飲食習慣，飲食調整才是最切中的衛教重點。故答案為C。","血脂管理值：總膽固醇＜200、LDL依風險分層、三酸甘油酯＜150 mg\u002FdL。無立即高危者，第一線為治療性生活型態改變（TLC）：減飽和脂肪與反式脂肪、增膳食纖維（水溶性纖維可降LDL）、規律運動、控體重。高纖飲食一舉降脂又通便，最貼合此個案。",[24,27,29,31],{"term":25,"count":26},"膳食纖維",5,{"term":28,"count":10},"高血脂衛教",{"term":30,"count":10},"治療性生活型態改變",{"term":32,"count":10},"三酸甘油酯正常值",[34,38,43,49,54,59],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-114-1-psychiatric-community-050","有關氣喘之護理指導，下列何項最不適當？",50,{"webId":39,"stem":40,"number":41,"year":9,"session":42},"nurse-114-3-psychiatric-community-046","有關家庭托顧服務，下列敘述何者最不適當？",46,3,{"webId":44,"stem":45,"number":46,"year":47,"session":48},"nurse-115-2-psychiatric-community-040","68 歲張先生從未做過健康檢查，護理師家訪時詢問原因，張先生說：「沒檢查就沒事，去檢查就會有事」，下列何項回應最不適當？",40,115,2,{"webId":50,"stem":51,"number":52,"year":53,"session":10},"nurse-107-1-psychiatric-community-028","承上題，護理師對古先生入院時，有關生理、心理、社會、智能以及靈性五大層面評估的重點，下列何者正確？",28,107,{"webId":55,"stem":56,"number":57,"year":58,"session":48},"nurse-108-2-psychiatric-community-072","對全球環境變遷所引起的問題之描述，下列何者正確？",72,108,{"webId":60,"stem":61,"number":62,"year":63,"session":10},"nurse-110-1-psychiatric-community-026","美沙冬（Methadone）可作為海洛因（Heroin）的替代治療藥物之原因，下列敘述何者錯誤？",26,110,"2026-09-04",1788510758517]