[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-114-2-psychiatric-community-030":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-114-2-精神科與社區衛生護理學-030","nurse-114-2-psychiatric-community-030",114,2,30,"有關致病模式中輪狀模式的敘述，下列何者最適當？",{"A":14,"B":15,"C":16,"D":17},"強調時間對疾病發展的影響","環境因子包含生物、物理、社會","強調宿主與病原體間互動關係","最適合解釋慢性病的因果關係鏈","B",null,[],"本題考點在於致病模式中輪狀模式(wheel model)的內涵。輪狀模式以宿主為輪軸核心,外圍環境分為生物、物理與社會三大類,故選項B「環境因子包含生物、物理、社會」最適當。A強調時間對疾病發展影響並非本模式重點;C強調宿主與病原體互動屬流行病學三角模式;D以因果鏈解釋慢性病則屬網狀模式。考點在於區辨輪狀、三角與網狀三種致病模式各自強調的面向。","輪狀模式的設計特色是「不強調單一病原」,而以宿主(含遺傳核心)為中心,周圍被生物、物理及社會環境所包覆,強調環境對健康的整體影響,特別適合說明多因子疾病。相對地,三角模式(宿主—病原—環境)適用單一病原的傳染病;網狀模式(web of causation)以多重交織的因果鏈解釋慢性病。記憶法:輪狀重「環境圈」、三角重「病原互動」、網狀重「因果鏈」。",[24,27,30,32],{"term":25,"count":26},"致病模式",3,{"term":28,"count":29},"輪狀模式",1,{"term":31,"count":29},"宿主與環境",{"term":33,"count":29},"流行病學三角",[35,39,44,49,54,59],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-114-2-psychiatric-community-031","護理師在判斷社區健康問題的嚴重性時，下列那一個原則最不適當？",31,{"webId":40,"stem":41,"number":42,"year":43,"session":29},"nurse-115-1-psychiatric-community-027","王同學，19歲，意識清楚，最近被診斷為肺癌末期，他希望預立「不施行心肺復甦術」意願書，下列敘述何者正確？①所簽署的意願書具法律效力           ②需有具完全行為能力者二人以上在場見證          ③ 執行意願人維生醫療之機構所屬人員可當見證人           ④意願書簽署後可以隨時撤回",27,115,{"webId":45,"stem":46,"number":47,"year":48,"session":29},"nurse-106-1-psychiatric-community-021","林女士的診斷最可能為：",21,106,{"webId":50,"stem":51,"number":52,"year":53,"session":29},"nurse-107-1-psychiatric-community-059","從印尼旅遊回國的林小姐，機場通關時，發現體溫為 39℃，就醫後確診為登革熱。下列描述何者正確？①衛生機關要追查同行者暴露史及健康資料 ②感染某一型登革熱病毒患者，對該型病毒仍會重複感染 ③只要入境就須進行檢疫程序 ④登革熱只要服藥治療期間，仍可捐血 ⑤登革熱應儘速於 24 小時內通報",59,107,{"webId":55,"stem":56,"number":57,"year":58,"session":29},"nurse-109-1-psychiatric-community-023","躁症發作（manic episode）的診斷準則，下列何者正確？",23,109,{"webId":60,"stem":61,"number":62,"year":63,"session":29},"nurse-110-1-psychiatric-community-057","執行衛生教育計畫時，評估民眾的參與程度，是屬於下列何種評價？",57,110,"2026-09-04",1788510760678]