[{"data":1,"prerenderedAt":67},["ShallowReactive",2],{"q-nurse-114-3-psychiatric-community-049":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":36,"lastmod":66},"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-114-3-精神科與社區衛生護理學-049","nurse-114-3-psychiatric-community-049",114,3,49,"下列何者不符合代謝症候群之判定標準？",{"A":14,"B":15,"C":16,"D":17},"王奶奶，腰圍 90 cm、空腹血糖值 132 mg\u002FdL、高密度脂蛋白膽固醇 48 mg\u002FdL、血壓 128\u002F80 mmHg、三酸甘油脂 168 mg\u002FdL","李爺爺，腰圍 91 cm、空腹血糖值 88 mg\u002FdL、高密度脂蛋白膽固醇 38 mg\u002FdL、血壓 142\u002F91 mmHg、三酸甘油脂 201 mg\u002FdL","吳奶奶，腰圍 84 cm、空腹血糖值 140 mg\u002FdL、高密度脂蛋白膽固醇 55 mg\u002FdL、血壓 101\u002F82 mmHg、三酸甘油脂 158 mg\u002FdL","陳爺爺，腰圍 94 cm、空腹血糖值 93 mg\u002FdL、高密度脂蛋白膽固醇 50 mg\u002FdL、血壓 111\u002F81 mmHg、三酸甘油脂 138 mg\u002FdL","D",null,[],"本題考點在於台灣代謝症候群的五項判定標準:腰圍男 ≥90 cm、女 ≥80 cm;血壓 ≥130\u002F85 mmHg;空腹血糖 ≥100 mg\u002FdL;三酸甘油脂 ≥150 mg\u002FdL;高密度脂蛋白膽固醇男 \u003C40、女 \u003C50 mg\u002FdL,五項中符合三項(含)以上即判定為代謝症候群。逐一核對:A 王奶奶符合腰圍(90≥80)、血糖(132≥100)、HDL(48\u003C50)、三酸甘油脂(168≥150)共四項,成立;B 李爺爺符合腰圍(91≥90)、血壓(142\u002F91)、HDL(38\u003C40)、三酸甘油脂(201)共四項,成立;C 吳奶奶符合腰圍(84≥80)、血糖(140)、三酸甘油脂(158)共三項,成立;D 陳爺爺僅腰圍(94≥90)一項異常,血糖 93、HDL 50、血壓 111\u002F81、三酸甘油脂 138 皆未達標,不符合判定標準,故選 D。","五項標準可用口訣「三高一胖一低」記:血壓高(≥130\u002F85,注意比高血壓診斷值 140\u002F90 更嚴)、血糖高(≥100,即空腹血糖偏高切點)、三酸甘油脂高(≥150)、腰圍胖(男 90 女 80,「男九女八」)、HDL 低(男 40 女 50,「男四女五」)。命題最愛的陷阱有三:一是性別切點互換(女性腰圍 80 就算、HDL 要 \u003C50 才算低);二是血壓用 140\u002F90 誤判(128\u002F80 與 101\u002F82 都未達 130\u002F85);三是只要「收縮壓或舒張壓其中之一」達標即算,如 B 的 142\u002F91 兩者皆超。機轉上,代謝症候群的共同病理基礎是胰島素阻抗與內臟脂肪堆積,五項指標都是其外顯表現,故群聚出現;判定為代謝症候群者未來罹患第二型糖尿病與心血管疾病的風險顯著上升,這是社區篩檢與成人預防保健服務把它列為重點的原因。",[24,27,30,32,34],{"term":25,"count":26},"胰島素阻抗",4,{"term":28,"count":29},"代謝症候群判定標準(五項符合三項)",1,{"term":31,"count":29},"腰圍切點男 90 女 80 cm",{"term":33,"count":29},"HDL 切點男 40 女 50 mg\u002FdL",{"term":35,"count":29},"血壓切點 130\u002F85 mmHg",[37,41,47,52,57,62],{"webId":38,"stem":39,"number":40,"year":9,"session":10},"nurse-114-3-psychiatric-community-050","下列那一種慢性病個案最需持續管理？",50,{"webId":42,"stem":43,"number":44,"year":45,"session":46},"nurse-115-2-psychiatric-community-046","有關長期照顧十年計畫 2.0，對於家庭照顧者之服務，下列何者最不適當？",46,115,2,{"webId":48,"stem":49,"number":50,"year":51,"session":46},"nurse-106-2-psychiatric-community-010","在團體治療的場合中，病人表示她都睡不好，另一位病人說：「我以前也睡不好，後來準時吃藥，按時去睡，我現在就睡很好了。」有關耶隆（Yalom）的療效因子之敘述，下列何者最正確？",10,106,{"webId":53,"stem":54,"number":55,"year":56,"session":46},"nurse-107-2-psychiatric-community-048","有關我國職業安全衛生的敘述，下列何者錯誤？",48,107,{"webId":58,"stem":59,"number":60,"year":61,"session":46},"nurse-109-2-psychiatric-community-012","賴小姐 30 歲，不能接受男友要與別人結婚，覺得活著沒意義，不如一死，遂以割腕及服藥方式自殺。有關照護賴小姐的重點，下列何者正確？①房間儘量安排靠近護理站 ②避免與個案討論自殺行為 ③評估病人自殺危險程度，採取密切觀察 ④與病人訂定不自殺契約",12,109,{"webId":63,"stem":64,"number":44,"year":65,"session":46},"nurse-110-2-psychiatric-community-046","承上題，健康里的一般生育率（general fertility rate , GFR），下列何者正確？",110,"2026-09-04",1788510763150]