[{"data":1,"prerenderedAt":74},["ShallowReactive",2],{"q-nurse-108-1-psychiatric-community-071":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-070",70,{"webId":9,"number":10},"nurse-108-1-psychiatric-community-072",72,"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-071","nurse-108-1-psychiatric-community-071",108,1,71,"83 歲獨居、輕度中風、使用助行器的黃老太太，ADL 80 分，下列那些資源較適合提供給她？①護理之家　②送餐服務　③居家服務　④居家營養師",null,{"A":21,"B":22,"C":23,"D":24},"①②","②③","③④","①④","B",[],"本題考點是長期照護資源與失能程度的配對。依巴氏量表（Barthel Index）判讀，ADL 80 分屬輕度依賴，個案意識清楚、可使用助行器行走，最適合居家式與社區式服務以維持其生活自立，故送餐服務②與居家服務③組合的 B 為正解。①護理之家屬機構式照護，適用於重度失能、需 24 小時護理處置（如管路照護）的個案，對僅輕度依賴者屬過度安置且違反在地老化原則。④居家營養師屬營養照護專業服務，需在有明確營養不良、吞嚥障礙或特殊治療飲食需求時才轉介，本題資料未呈現此類問題，非優先資源。","長照資源依提供場域分三類：居家式（居家服務、居家護理、居家復能、居家喘息）、社區式（日間照顧、社區關懷據點、共餐與送餐、失智據點、交通接送）、機構式（護理之家、養護機構、長照機構）。配置原則是「能留在家就別進機構」，即在地老化（aging in place）與最少限制原則。巴氏量表的分級要熟記：100 分完全獨立、91 至 99 分極輕度依賴、61 至 90 分輕度依賴、41 至 60 分中度依賴、21 至 40 分嚴重依賴、0 至 20 分完全依賴；長照 2.0 的失能等級則以 CMS 第 2 至 8 級分派給付額度。本題個案的三個關鍵風險字是「83 歲、獨居、輕度中風且用助行器」，指向的護理問題是跌倒風險與備餐困難，因此送餐（解決營養攝取）與居家服務（協助家務、陪同就醫、身體照顧）正好對應。可延伸複習長照 2.0 四包錢：照顧及專業服務、交通接送、輔具與居家無障礙環境改善、喘息服務。",[30,33,36,38,40],{"term":31,"count":32},"在地老化",5,{"term":34,"count":35},"居家服務",4,{"term":37,"count":16},"巴氏量表(Barthel Index)",{"term":39,"count":16},"長期照護資源分類",{"term":41,"count":16},"送餐服務",[43],{"id":44,"name":45},"long-term-care","長期照顧政策與服務",[47,49,54,59,64,69],{"webId":9,"stem":48,"number":10,"year":15,"session":16},"為了提升學童養成口腔衛生之習慣，學校衛生護理師應用 PRECEDE-PROCEED 模式，下列何者屬於增強因素（reinforcing factors）？①牙醫到校檢查學童口腔衛生　②布告欄張貼有口腔衛生海報　③媽媽讚賞學童餐後刷牙的行為　④老師給予餐後潔牙學童好寶寶點數",{"webId":50,"stem":51,"number":52,"year":53,"session":16},"nurse-109-1-psychiatric-community-008","護理師訪視一位酒精使用障礙症病人時，鼓勵家屬參加照顧者支持性團體治療。下列敘述何者為家屬參加團體治療的主要目的？",8,109,{"webId":55,"stem":56,"number":57,"year":53,"session":58},"nurse-109-2-psychiatric-community-022","方小姐 28 歲，診斷為思覺失調症，因與宮廟工作人員發生衝突，入院治療，護理師觀察到個案喃喃自語，時而發笑，時而側耳傾聽，表示觀音菩薩正在跟她說話，請護理師別吵她，護理師的回應，下列何項較適當？",22,2,{"webId":60,"stem":61,"number":62,"year":63,"session":58},"nurse-110-2-psychiatric-community-060","下列何種食品添加物會引起類交感神經興奮？",60,110,{"webId":65,"stem":66,"number":67,"year":68,"session":16},"nurse-112-1-psychiatric-community-024","有關中度焦慮的照護原則，下列何者最適宜？",24,112,{"webId":70,"stem":71,"number":52,"year":72,"session":16},"nurse-113-1-psychiatric-community-008","葉同學剛滿18歲，診斷為雙相情緒障礙症（bipolar disorder），媽媽非常不解的詢問護理師為什麼會這樣。關於疾病的生物病因，下列何項回答最為適切？",113,"2026-09-29",1790672291412]