[{"data":1,"prerenderedAt":74},["ShallowReactive",2],{"q-nurse-108-1-psychiatric-community-044":3},{"subject":4,"prev":5,"next":8,"subjectSlug":11,"subjectFullName":4,"question":12,"related":45,"lastmod":73},"精神科與社區衛生護理學",{"webId":6,"number":7},"nurse-108-1-psychiatric-community-043",43,{"webId":9,"number":10},"nurse-108-1-psychiatric-community-045",45,"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":41},"nurse-108-1-精神科與社區衛生護理學-044","nurse-108-1-psychiatric-community-044",108,1,44,"每年 6～8 月藉由殺蟲劑的噴灑以防止登革熱的傳染，是屬於那一種傳染病防治的策略？",null,{"A":21,"B":22,"C":23,"D":24},"消滅致病原","減少傳染原的傳染力","傳播媒介的控制","增加宿主的免疫力","C",[],"本題考點是傳染病防治三大策略（管制傳染原、切斷傳染途徑、保護易感宿主）的辨識。依登革熱的傳染鏈，其病原為登革病毒，必須經由病媒蚊（埃及斑蚊、白線斑蚊）叮咬才能傳播，噴灑殺蟲劑消滅的是病媒蚊而非病毒本身，作用點在傳染途徑中的病媒，故屬傳播媒介的控制，選 C。（A）消滅致病原是針對病毒或細菌本身，如消毒、隔離治療感染源。（B）減少傳染原傳染力指的是對感染者投藥或治療以降低散播能力，噴藥並未作用於病人。（D）增加宿主免疫力屬預防接種或營養提升，與化學防治無關。","傳染鏈六環節：病原體 → 傳染窩（reservoir）→ 出口 → 傳染途徑 → 入口 → 易感宿主。任何防治措施都可回推它切在哪一環，這是最穩的解題法。噴藥（化學防治）、清除孳生源與積水容器（環境防治，「巡、倒、清、刷」）、放養食蚊魚（生物防治）三者都作用在病媒蚊，同屬傳播媒介控制。\n\n登革熱重點事實：屬第二類法定傳染病，24 小時內通報；病毒有四型（DENV-1～4），感染後僅對同型產生終身免疫，異型再感染時因抗體依賴增強作用（ADE）易演變為登革出血熱／登革休克症候群；埃及斑蚊分布於北迴歸線以南、白線斑蚊全臺可見，這也是為何 6～8 月高溫多雨期加強噴消。\n\n對比記憶：瘧疾、日本腦炎、屈公病、茲卡病毒同屬病媒傳染病，防治重點皆在媒介控制；霍亂、傷寒屬糞口途徑，重點在飲水與食品衛生；結核、麻疹屬空氣飛沫，重點在隔離與疫苗。",[30,33,35,37,39],{"term":31,"count":32},"傳染鏈",2,{"term":34,"count":16},"傳播媒介控制",{"term":36,"count":16},"登革熱與病媒蚊",{"term":38,"count":16},"化學防治",{"term":40,"count":16},"法定傳染病防治策略",[42],{"id":43,"name":44},"communicable-disease-control","傳染病防治法規與疫苗接種",[46,48,52,57,62,67],{"webId":9,"stem":47,"number":10,"year":15,"session":16},"當 PM2.5 指數過高時，社區衛生護理人員衛教社區居民外出需戴口罩，此作法乃三段五級預防模式的那一項？",{"webId":49,"stem":50,"number":51,"year":15,"session":32},"nurse-108-2-psychiatric-community-061","關於實驗流行病學中的臨床試驗（clinical trial），下列何者正確？①隨機分派（random assignment）是必要條件 ②適合探討因果關係 ③以團體或社區為研究對象 ④最大缺點為容易產生回憶偏差",61,{"webId":53,"stem":54,"number":55,"year":56,"session":16},"nurse-109-1-psychiatric-community-075","有關長期照顧十年計畫 2.0 的服務對象之敘述，下列何者最不適當？",75,109,{"webId":58,"stem":59,"number":60,"year":61,"session":32},"nurse-110-2-psychiatric-community-033","運用簡易心智量表（Mini-Mental State Examination, MMSE）評估老年人精神狀態，下列何者不是其評估的功能表現？",33,110,{"webId":63,"stem":64,"number":65,"year":66,"session":32},"nurse-111-2-psychiatric-community-077","67 歲的歐陽先生於上個月參加成人健檢，檢查結果：三酸甘油脂為 218 mg\u002FdL，低密度膽固醇 196 mg\u002FdL，血壓 158\u002F110 mmHg，空腹血糖 99 mg\u002FdL。下列何者不是心血管疾病危險因子？",77,111,{"webId":68,"stem":69,"number":70,"year":71,"session":72},"nurse-112-3-psychiatric-community-031","社區護理師透過網路社群邀請里內更年期婦女參加心血管疾病風險調查，這是那一種資料收集方式？",31,112,3,"2026-09-29",1790672291058]