[{"data":1,"prerenderedAt":74},["ShallowReactive",2],{"q-nurse-108-1-psychiatric-community-037":3},{"subject":4,"prev":5,"next":8,"subjectSlug":11,"subjectFullName":4,"question":12,"related":44,"lastmod":73},"精神科與社區衛生護理學",{"webId":6,"number":7},"nurse-108-1-psychiatric-community-036",36,{"webId":9,"number":10},"nurse-108-1-psychiatric-community-038",38,"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":16,"concepts":40},"nurse-108-1-精神科與社區衛生護理學-037","nurse-108-1-psychiatric-community-037",108,1,37,"有關自殺防治策略的說明，下列何者正確？",null,{"A":21,"B":22,"C":23,"D":24},"自殺防治策略主要分為 3 個主要層面擬定方案，分為區域性（localization）、選擇性（selection）、指標性（indicator）策略","自殺防治之推行，與心理衛生體系及社會安全體系功能之充分發揮密切相關","選擇性自殺防治策略之標的為全體民眾，涵蓋導正媒體、減少致命性物品之可近性、降低自殺與精神疾病的社會污名化程度","指標性自殺防治以高風險群為對象，包括憂鬱症共同照護體系之推行","B",[],"本題考點是自殺防治策略的三層架構與其推行的體系基礎。依自殺防治的公共衛生模式，自殺為多重因素造成的結果，其防治成效繫於心理衛生體系（醫療、諮商、危機服務）與社會安全體系（社會福利、經濟支持、家庭與社區支持網絡）能否充分運作，故 B 敘述正確。A 錯在層面名稱，三層策略應為全面性（universal）、選擇性（selective）、指標性（indicated），並非「區域性」。C 錯在對象與內容錯置，導正媒體報導、限制致命性工具可近性、降低疾病汙名等以全體民眾為標的者屬全面性策略，而非選擇性策略；選擇性策略針對的是具特定風險因子的次群體（如失業者、獨居長者、物質使用者）。D 的爭議在於憂鬱症共同照護體系屬篩檢與早期介入層次，多歸類為選擇性策略，指標性策略則針對已出現自殺意念或有自殺未遂史的高風險個人，故不選為最適當答案。","三層策略的判準只有一個——「標的人群的風險程度」：全面性＝全體民眾（不篩選，例如媒體報導規範、限制農藥與木炭取得、心理健康識能宣導）；選擇性＝具風險因子的次群體（尚未出現自殺行為，例如憂鬱症篩檢與共同照護、喪偶者支持團體、失業者關懷）；指標性＝已有自殺意念、計畫或未遂史的個人（例如自殺未遂通報後的關懷訪視、個案管理追蹤）。\n\n口訣：「全民不篩、選擇篩群、指標鎖人。」\n\n特別提醒：這套三層分類與公共衛生的三段五級預防是兩套並行的系統（本科另有一題考三段五級），命題者常把兩者的詞彙互相混用作為干擾，作答時先辨識題幹用的是哪一套術語再對號入座。\n\n此外，B 之所以是最穩妥的答案，在於它陳述的是防治體系的結構性條件，屬概括性的正確原則；而 A、C、D 都在具體名詞或對象上出錯。遇到「一個籠統但無誤 vs 三個具體但有瑕疵」的組合，籠統者往往才是答案。\n\n可延伸複習：自殺防治守門人（Gatekeeper）的「一問二應三轉介」、媒體報導自殺的六不六要原則、限制致命工具可近性（means restriction）的實證效果、自殺風險評估的意念—計畫—方法—時機四層次。",[30,32,34,36,38],{"term":31,"count":16},"自殺防治三層策略",{"term":33,"count":16},"全面性\u002F選擇性\u002F指標性策略",{"term":35,"count":16},"心理衛生體系",{"term":37,"count":16},"社會安全體系",{"term":39,"count":16},"公共衛生模式",[41],{"id":42,"name":43},"suicide-prevention","自殺風險評估與防治",[45,47,52,57,62,67],{"webId":9,"stem":46,"number":10,"year":15,"session":16},"王先生因自傷傷人而由警消單位帶入強制住院，進病房後因出院需求未獲滿足立即舉起椅子砸向護理站，有關照護措施，下列何者正確？",{"webId":48,"stem":49,"number":50,"year":15,"session":51},"nurse-108-2-psychiatric-community-054","下列何者為學校護理師執行的非例行性教學？",54,2,{"webId":53,"stem":54,"number":55,"year":56,"session":16},"nurse-109-1-psychiatric-community-068","依據跨理論模式（transtheoretical model），王女士陳述「我想要運動，但就是找不到時間。如果我能每週運動三天，我對於自己的感覺會比較好。」，是屬於下列何種改變階段（stages of change）？",68,109,{"webId":58,"stem":59,"number":60,"year":61,"session":51},"nurse-110-2-psychiatric-community-026","有關人格障礙症（personality disorder）的特性與病因，下列敘述何者較適當？",26,110,{"webId":63,"stem":64,"number":65,"year":66,"session":51},"nurse-111-2-psychiatric-community-070","有關醫療工作環境常見的危害因子，下列何者最不適當？",70,111,{"webId":68,"stem":69,"number":70,"year":71,"session":72},"nurse-112-3-psychiatric-community-024","有關社區精神心理衛生目的之敘述，下列何者最不適宜？",24,112,3,"2026-09-29",1790672290958]