[{"data":1,"prerenderedAt":74},["ShallowReactive",2],{"q-nurse-108-1-psychiatric-community-047":3},{"subject":4,"prev":5,"next":8,"subjectSlug":11,"subjectFullName":4,"question":12,"related":46,"lastmod":73},"精神科與社區衛生護理學",{"webId":6,"number":7},"nurse-108-1-psychiatric-community-046",46,{"webId":9,"number":10},"nurse-108-1-psychiatric-community-048",48,"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-047","nurse-108-1-psychiatric-community-047",108,1,47,"下列何種案例是屬於三段五級預防模式中第二段預防工作？",null,{"A":21,"B":22,"C":23,"D":24},"45 歲的婦女加強鈣質攝取","班上同學被診斷為開放性肺結核，而自己去接受胸部 X 光篩檢","中風病人經急性醫療服務後，接受復健治療","每個人應每年接受體檢","B",[],"本題考點是 Leavell 與 Clark 三段五級預防的歸類。第二段預防的核心是早期診斷、早期治療,對象是可能已感染但尚無症狀者,手段為篩檢與病例發現。B 是開放性肺結核接觸者接受胸部 X 光篩檢,目的在及早找出感染者治療並阻斷傳染鏈,故選 B。A 加強鈣質攝取屬第一段第一級健康促進。C 中風後復健屬第三段第五級復健。D 定期健檢在分類上同屬次段預防的篩檢,但「每個人每年一次」與我國成人預防保健服務的規定不符(40–64 歲每 3 年 1 次、65 歲以上每年 1 次),且屬泛稱倡導而非具體案例,故不選。","【三段五級對照表】\n・第一段(初段預防,對象:健康人)\n  第一級 健康促進:均衡飲食、規律運動、鈣質與葉酸攝取、衛生教育、優生保健諮詢、良好居住環境。\n  第二級 特殊保護:預防接種、事故傷害防護(安全帽、安全帶)、職業危害防護具、飲水加氟、去除致病原暴露。\n・第二段(次段預防,對象:無症狀但可能已發病者)\n  第三級 早期診斷早期治療:各種篩檢——癌症篩檢、成人健檢、接觸者胸部 X 光、新生兒篩檢、視力聽力篩檢、個案發現與接觸者追蹤。\n・第三段(三段預防,對象:已發病者)\n  第四級 限制殘障:及時且適當的治療以防止併發症與功能惡化,如中風急性期治療、糖尿病足部照護。\n  第五級 復健:物理與職能治療、義肢裝配、心理復健、職業重建、回歸社區。\n\n【判別口訣】「還沒病→初段;病了但還沒發現→次段;已經病了→三段」。定期健康檢查與各式篩檢一律歸第三級(次段),不要因為它「聽起來很養生」就誤歸健康促進——篩檢的目的是找出已存在的疾病,不是預防它發生。\n\n【易錯點】①預防接種是特殊保護(第二級)不是健康促進;②衛教因主題而異,講「怎麼吃得健康」是第一級,講「叫大家去做糞便潛血」則帶有第三級的性質;③復健若目的是防止關節攣縮惡化屬第四級,若目的是回復功能與重返職場屬第五級。",[30,33,35,38,40],{"term":31,"count":32},"次段預防",3,{"term":34,"count":32},"成人預防保健服務",{"term":36,"count":37},"Leavell & Clark 三段五級預防",2,{"term":39,"count":16},"早期診斷早期治療",{"term":41,"count":16},"接觸者篩檢",[43],{"id":44,"name":45},"prevention-levels","三段五級預防與疾病自然史",[47,49,53,58,63,68],{"webId":9,"stem":48,"number":10,"year":15,"session":16},"透過走街評估社區防火巷是否通暢、滅火器及消防栓是否可使用，主要是為了了解社區的那一層面？",{"webId":50,"stem":51,"number":52,"year":15,"session":37},"nurse-108-2-psychiatric-community-064","小華，長住上海，預防接種都在當地完成。今年即將回國就讀國小一年級，家長發現日本腦炎僅接種兩劑，下列何者正確？",64,{"webId":54,"stem":55,"number":56,"year":57,"session":16},"nurse-109-1-psychiatric-community-078","有關骨質疏鬆症的敘述，下列何者錯誤？",78,109,{"webId":59,"stem":60,"number":61,"year":62,"session":37},"nurse-110-2-psychiatric-community-036","有關賦能模式（empowerment model）的概念，下列何者正確？",36,110,{"webId":64,"stem":65,"number":66,"year":67,"session":37},"nurse-111-2-psychiatric-community-080","有關中老年慢性病個案管理的目標，下列何者最不適當？",80,111,{"webId":69,"stem":70,"number":71,"year":72,"session":32},"nurse-112-3-psychiatric-community-034","下列何項教學內容最能提升民眾對腦中風疾病嚴重性的認知？",34,112,"2026-09-29",1790672291074]