[{"data":1,"prerenderedAt":75},["ShallowReactive",2],{"q-nurse-108-1-psychiatric-community-032":3},{"subject":4,"prev":5,"next":8,"subjectSlug":11,"subjectFullName":4,"question":12,"related":46,"lastmod":74},"精神科與社區衛生護理學",{"webId":6,"number":7},"nurse-108-1-psychiatric-community-031",31,{"webId":9,"number":10},"nurse-108-1-psychiatric-community-033",33,"psychiatric-community",{"id":13,"webId":14,"year":15,"session":16,"subject":4,"number":17,"stem":18,"scenario":19,"carryOver":19,"options":20,"answer":25,"answerNote":19,"images":26,"explanation":27,"explanationDeep":28,"topics":29,"freq":32,"concepts":42},"nurse-108-1-精神科與社區衛生護理學-032","nurse-108-1-psychiatric-community-032",108,1,32,"李小姐參加復健商店的工作訓練，此為第幾級的預防概念？",null,{"A":21,"B":22,"C":23,"D":24},"第一級預防","第二級預防","第三級預防","第四級預防","C",[],"本題考點是三段預防概念在精神復健服務中的歸屬判定。依公共衛生三段五級預防模式，第一級預防為疾病發生前的健康促進與特殊保護，第二級預防為早期發現、早期診斷與早期治療（含篩檢），第三級預防為疾病確立後的限制殘障與復健，目的在恢復個案功能並協助其重返社會；復健商店（如庇護性商店）的工作訓練對象為已罹病且症狀相對穩定的個案，目的在恢復職業功能與社會角色，故屬第三級預防，選 C。A 第一級預防指未發病者的心理衛生教育、壓力管理等，與本題情境不符。B 第二級預防指自殺風險篩檢、憂鬱量表篩檢等早期發現措施，本題個案已在治療後階段。D 三段五級模式中並無「第四級預防」此一分級，屬憑空杜撰的干擾項。","三段五級的完整對照可整理如下：第一級含第一級「健康促進」與第二級「特殊保護」；第二級預防對應第三級「早期診斷早期治療」；第三級預防含第四級「限制殘障」與第五級「復健」。判定口訣：「還沒病＝一級，剛發現＝二級，已生病要復原＝三級。」\n\n精神衛生服務對號入座：校園心理衛生教育、社區壓力管理講座、自殺防治的媒體報導規範＝一級；社區篩檢、憂鬱症共同照護的個案發現、危機專線＝二級；日間病房、康復之家、庇護性工場、復健商店、社區復健中心、職業重建＝三級。\n\n注意概念上的雙軌：自殺防治另有一套「全面性（universal）／選擇性（selective）／指標性（indicated）」的三層策略分類（見本科另一常考題），與三段五級不是同一套系統，考題常故意交錯出現，需分開記憶、勿混用。\n\n可延伸複習：Caplan 的精神衛生三級預防模式、社區復健機構的服務層級（康復之家、社區復健中心、庇護性就業、支持性就業、競爭性就業）、去機構化政策的脈絡。",[30,33,36,38,40],{"term":31,"count":32},"三段五級預防",28,{"term":34,"count":35},"精神復健",17,{"term":23,"count":37},2,{"term":39,"count":16},"職業重建",{"term":41,"count":16},"Caplan 預防模式",[43],{"id":44,"name":45},"psychiatric-rehabilitation","精神復健與社區精神衛生",[47,49,53,58,63,68],{"webId":9,"stem":48,"number":10,"year":15,"session":16},"慢性精神病人參與庇護性工場活動之訓練目的，下列何者正確？",{"webId":50,"stem":51,"number":52,"year":15,"session":37},"nurse-108-2-psychiatric-community-049","空氣品質指標（AQI）所參照之污染物濃度，不包括下列何者？",49,{"webId":54,"stem":55,"number":56,"year":57,"session":16},"nurse-109-1-psychiatric-community-063","有關細懸浮微粒（PM 2.5 ）之敘述，下列何者錯誤？",63,109,{"webId":59,"stem":60,"number":61,"year":62,"session":37},"nurse-110-2-psychiatric-community-021","有關躁症發作（manic episode）病人最常見的症狀，下列何者正確？",21,110,{"webId":64,"stem":65,"number":66,"year":67,"session":37},"nurse-111-2-psychiatric-community-065","林先生與父親、太太和二位幼稚園女兒同住。請問林家是屬於何種家庭類型？",65,111,{"webId":69,"stem":70,"number":71,"year":72,"session":73},"nurse-112-3-psychiatric-community-019","有關酒癮病人之敘述，下列何者正確？①停止喝酒後，戒斷症狀會在很短的時間內發生，且持續 5～7 天 ②酒精戒斷譫妄以聽幻覺為主 ③戒斷症狀包括：焦慮、厭食、失眠、顫抖等 ④常有營養不良和維他命 B 群缺乏的情形",19,112,3,"2026-09-29",1790672290871]