[{"data":1,"prerenderedAt":72},["ShallowReactive",2],{"q-nurse-108-1-psychiatric-community-052":3},{"subject":4,"prev":5,"next":8,"subjectSlug":11,"subjectFullName":4,"question":12,"related":44,"lastmod":71},"精神科與社區衛生護理學",{"webId":6,"number":7},"nurse-108-1-psychiatric-community-051",51,{"webId":9,"number":10},"nurse-108-1-psychiatric-community-053",53,"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-052","nurse-108-1-psychiatric-community-052",108,1,52,"為提升新移民婦女之照護品質，社區衛生護理人員最需要加強何種照護能力？",null,{"A":21,"B":22,"C":23,"D":24},"伙伴關係的能力（partnership）","成為健康代言人（advocator）","多國語言能力（linguistic competence）","文化照護能力（culture competence）","D",[],"本題考點是跨文化護理在新移民照護的核心能力定位。依 Leininger 跨文化護理理論，照護須立基於對服務對象文化價值與健康信念的理解；新移民婦女的飲食禁忌、坐月子習俗與就醫決策模式皆源自原生文化，故最需加強文化照護能力，選 D。（A）伙伴關係是社區護理通用能力，非針對文化差異。（B）健康代言人重在爭取權益，屬延伸作為。（C）語言能力僅解決溝通表層障礙，無法涵蓋價值信念層面差異。","C 與 D 是本題真正的競爭選項，判別關鍵是「語言只是文化的一部分」：語言能力（linguistic competence）屬文化照護能力的次概念，會說越南語不等於理解越南的產後照護觀；反之，具文化照護能力者即使不會該語言，仍可透過通譯與文化評估提供適切照護。考題要「最需要加強」，答案取涵蓋範圍較大的上位概念。\n\nLeininger 日出模式（Sunrise Model）指出影響照護的七大文化社會結構因素：科技、宗教與哲學、親屬與社會、文化價值與生活方式、政治與法律、經濟、教育。其三大照護決策模式為：文化照護保存／維持、文化照護調適／協商、文化照護重塑／重建——當習俗無害時保存（如坐月子飲食偏好），有部分風險時協商調適，明顯有害時才協助重塑。\n\n延伸複習：可與 Campinha-Bacote 的文化能力模式（文化覺察、文化知識、文化技巧、文化接觸、文化渴望）對照，兩套理論在新住民、原住民、移工照護題型中交替出現。",[30,32,34,36,38],{"term":31,"count":16},"Leininger 跨文化護理理論",{"term":33,"count":16},"文化照護能力",{"term":35,"count":16},"日出模式 Sunrise Model",{"term":37,"count":16},"文化照護三大決策模式",{"term":39,"count":16},"新移民健康照護",[41],{"id":42,"name":43},"vulnerable-populations","健康不平等與弱勢族群健康",[45,47,52,57,62,67],{"webId":9,"stem":46,"number":10,"year":15,"session":16},"為促進新住民及其子女之健康而辦理的相關政策，下列何者錯誤？",{"webId":48,"stem":49,"number":50,"year":15,"session":51},"nurse-108-2-psychiatric-community-069","陳先生早餐吃了蛋製品，餐後有腹瀉、腹痛、噁心、嘔吐及發燒症狀。他最有可能是下列何種細菌引起之食物中毒？",69,2,{"webId":53,"stem":54,"number":55,"year":56,"session":51},"nurse-109-2-psychiatric-community-003","鋰鹽（lithium）是治療雙相情緒障礙症（bipolar disorder）之重要的情緒穩定劑，當病人持續使用鋰鹽治療時，必須定期醫療檢查的項目，下列何項正確？①肝臟功能 ②腎臟功能 ③甲狀腺功能 ④肺臟功能",3,109,{"webId":58,"stem":59,"number":60,"year":61,"session":51},"nurse-110-2-psychiatric-community-041","有關健全健康照護體系的主要目的，下列何者錯誤？",41,110,{"webId":63,"stem":64,"number":65,"year":66,"session":16},"nurse-112-1-psychiatric-community-005","有關精神疾病與神經傳導物質失調之因素假說，下列敘述何者正確？",5,112,{"webId":68,"stem":69,"number":70,"year":66,"session":55},"nurse-112-3-psychiatric-community-039","有關焚化法之敘述，下列何者最適當？",39,"2026-09-29",1790672291159]