[{"data":1,"prerenderedAt":67},["ShallowReactive",2],{"q-nurse-115-1-psychiatric-community-034":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":38,"lastmod":66},"精神科與社區衛生護理學","psychiatric-community",{"id":7,"webId":8,"year":9,"session":10,"subject":4,"number":11,"stem":12,"options":13,"answer":18,"answerNote":19,"images":20,"explanation":21,"explanationDeep":22,"topics":23,"freq":26},"nurse-115-1-精神科與社區衛生護理學-034","nurse-115-1-psychiatric-community-034",115,1,34,"依據三段五級概念，下列那一項屬於第一級的預防措施？",{"A":14,"B":15,"C":16,"D":17},"為老人施打肺炎鏈球菌疫苗","提供居家復能服務","45歲以上民眾定期做定量免疫糞便潛血檢查","婚前健康諮詢","D",null,[],"本題考點為 Leavell 與 Clark 三段五級預防的分級歸屬。初段預防中的第一級為健康促進,針對尚未出現特定致病因子作用的健康人,以衛教、諮商、營養與生活型態調整來增進整體健康;婚前健康諮詢屬於一般性的健康教育與遺傳、生育衛生諮商,不針對單一疾病提供特異性保護,故歸為第一級,正解為 D。A 施打肺炎鏈球菌疫苗針對特定病原提供免疫保護,屬第二級特殊保護。C 定量免疫糞便潛血檢查是無症狀者的大腸癌篩檢,屬次段預防的第三級早期發現、早期治療。B 居家復能旨在恢復功能、減少失能,屬末段預防的第五級復健。","三段五級可用一條時間軸記:疾病未發生前(初段)分第一級健康促進與第二級特殊保護;疾病已發生但無症狀或早期(次段)為第三級早期發現早期治療;疾病進展後(末段)為第四級限制殘障、第五級復健。判斷訣竅在於「有沒有針對特定疾病」:一般營養衛教、運動、婚前與遺傳諮詢、環境衛生屬第一級;疫苗、事故傷害防護具、職業防護裝備、飲水加氟屬第二級;各式篩檢(子宮頸抹片、乳房攝影、糞便潛血、口腔黏膜檢查、成人預防保健)屬第三級。延伸概念:國健署四癌篩檢年齡與頻率、初級預防與健康促進的差異。",[24,27,30,33,36],{"term":25,"count":26},"三段五級預防",27,{"term":28,"count":29},"健康促進",17,{"term":31,"count":32},"特殊保護",10,{"term":34,"count":35},"早期發現早期治療",2,{"term":37,"count":35},"復健",[39,43,48,52,57,62],{"webId":40,"stem":41,"number":42,"year":9,"session":10},"nurse-115-1-psychiatric-community-035","護理師在沙塵暴季節針對氣喘病人的護理指導，下列何項較不適當？",35,{"webId":44,"stem":45,"number":46,"year":47,"session":10},"nurse-106-1-psychiatric-community-031","關於青少年精神病人一般照護原則的描述，下列何者正確？",31,106,{"webId":49,"stem":50,"number":51,"year":47,"session":35},"nurse-106-2-psychiatric-community-045","某社區正流行登革熱，在 4 月 1 日調查 1,000 人，其中有 100 人證實已被感染到登革熱，在 6 月 1 日調查同一群人口，又另確認出 100 人感染到登革熱，有關此社區的登革熱流行狀況，下列何者正確？",45,{"webId":53,"stem":54,"number":55,"year":56,"session":35},"nurse-108-2-psychiatric-community-003","一位曾經因精神疾患住院治療的 25 歲張小姐，返回原工作單位，被該私人公司主管以精神疾患為由解聘，下列敘述何者正確？",3,108,{"webId":58,"stem":59,"number":60,"year":61,"session":35},"nurse-109-2-psychiatric-community-047","有關社區增能（empower）的描述，下列敘述何者錯誤？",47,109,{"webId":63,"stem":64,"number":10,"year":65,"session":10},"nurse-111-1-psychiatric-community-001","王奶奶，80 歲，因憂鬱症住院。低聲說：「我全身都壞了，兒子不孝順只想要我的財產而已。」護理師說：「妳是擔心自己的身體和財產嗎？」此時護理師所運用的溝通技巧為：",111,"2026-08-06",1787299090076]