[{"data":1,"prerenderedAt":72},["ShallowReactive",2],{"q-nurse-108-1-psychiatric-community-079":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-078",78,{"webId":9,"number":10},"nurse-108-1-psychiatric-community-080",80,"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":40},"nurse-108-1-精神科與社區衛生護理學-079","nurse-108-1-psychiatric-community-079",108,1,79,"有關慢性病的敘述，下列何者最正確？①僅好發於高齡群體　②潛伏期長須終生控制　③需要密集的醫療照護　④常殘留殘障或機能不全",null,{"A":21,"B":22,"C":23,"D":24},"①②","②③","②④","①④","C",[],"本題考點是慢性病的基本特性。依慢性病的定義，其特徵包含病因多重且不明確、潛伏期長、病程進展緩慢且不可逆，須長期甚至終生控制而非治癒②，並常在急性期過後殘留失能、殘障或器官機能不全④，故②④組合的 C 最正確。①錯在年齡限定：糖尿病、氣喘、systemic lupus erythematosus 等慢性病亦可發生於兒童與青壯年，並非僅好發於高齡群體。③錯在照護型態：慢性病以自我照顧、規律回診與長期追蹤為主，僅在急性惡化期才需密集醫療照護，日常並不需要密集醫療介入。","慢性病的五大特性可記為「因多、期長、進行、留殘、難癒」：致病因子多重（遺傳、生活型態、環境交互作用）、潛伏期與病程長、病情持續進行且多不可逆、常留下永久性失能、無法根治只能控制。與急性病的對照可製表記憶：急性病病因單一（多為病原體）、發病急、病程短、可治癒、以醫療為主；慢性病病因多重、發病隱匿、病程長、僅能控制、以自我管理為主。照護模式上，慢性病照護的核心是慢性照護模式（Chronic Care Model）與自我管理支持，強調病人自我效能、行為目標設定與社區資源連結，護理角色從照顧者轉為教育者與協調者。三段五級預防在慢性病的應用也常考：初段預防為健康促進與特殊保護（戒菸、運動、飲食控制），次段預防為早期發現早期治療（四癌篩檢、成人預防保健、血壓血糖監測），三段預防為限制殘障與復健（併發症防治、復能、回歸社區）。本題中④所述的「殘留殘障或機能不全」正對應三段預防的存在理由。",[30,33,36,38],{"term":31,"count":32},"三段五級預防",28,{"term":34,"count":35},"慢性病特性",3,{"term":37,"count":16},"潛伏期長與終生控制",{"term":39,"count":16},"失能與機能不全",[41],{"id":42,"name":43},"chronic-disease-management","慢性病社區照護",[45,47,52,57,62,67],{"webId":9,"stem":46,"number":10,"year":15,"session":16},"有關社區衛生護理人員提供代謝症候群個案的飲食衛教，下列何者錯誤？",{"webId":48,"stem":49,"number":50,"year":51,"session":16},"nurse-109-1-psychiatric-community-016","張先生診斷為妄想症，認為病房內的人都要害他所以拒絕參加任何活動，只願留在自己的房間。下列那一項護理措施最適宜？",16,109,{"webId":53,"stem":54,"number":55,"year":51,"session":56},"nurse-109-2-psychiatric-community-030","人格違常的護理措施主要針對病人所出現之特殊行為或症狀處理，常見的問題行為下列何者正確？ ①自我傷害 ②操縱 ③衝動行為 ④自我照顧能力缺失",30,2,{"webId":58,"stem":59,"number":60,"year":61,"session":56},"nurse-110-2-psychiatric-community-068","回教信仰的新住民產婦拒吃婆婆煮的麻油豬肝，引起婆婆不悅，下列護理措施何者最適當？",68,110,{"webId":63,"stem":64,"number":65,"year":66,"session":16},"nurse-112-1-psychiatric-community-032","與老年精神病人溝通時，下列何者最適宜？",32,112,{"webId":68,"stem":69,"number":50,"year":70,"session":16},"nurse-113-1-psychiatric-community-016","李同學，12歲，對無法停止洗手行為，感到情緒低落並無自信，導致每次不停的洗手，即使手已經破皮仍繼續洗手。護理師建議李同學藉由玩自己最喜歡的小小兵玩具轉移注意力並練習不繼續洗手。此種照護處置是應用下列何種治療技巧？",113,"2026-09-29",1790672291505]