[{"data":1,"prerenderedAt":62},["ShallowReactive",2],{"q-nurse-115-1-psychiatric-community-035":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":32,"lastmod":61},"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":10},"nurse-115-1-精神科與社區衛生護理學-035","nurse-115-1-psychiatric-community-035",115,1,35,"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？",{"A":14,"B":15,"C":16,"D":17},"儘量避免出門，若出門必須配戴口罩","維持正常作息","打開門窗，維持空氣流通","切勿擅自停止氣喘用藥","C",null,[],"本題考點為空氣污染事件中氣喘個案的環境控制原則。沙塵暴期間戶外懸浮微粒與 PM2.5 濃度大幅升高,這些微粒可深入細支氣管誘發氣道發炎與支氣管痙攣,環境控制的方向是阻絕室外污染物進入室內,因此門窗應緊閉並可搭配空氣清淨機,而非開窗通風,C 的指導最不適當,為正解。A 適當:減少戶外暴露時間、外出配戴口罩可降低吸入微粒量。B 適當:規律作息與充足睡眠有助維持免疫與自主神經穩定,減少誘發因子。D 適當:氣喘控制用藥屬長期抗發炎治療,自行停藥會使氣道慢性發炎失去控制而增加急性發作風險。","氣喘的病生理是慢性氣道發炎加上支氣管高反應性,常見誘發因子可用「塵、蟎、毛、菸、冷、動、藥、染」串記:塵埃與空污、塵蟎、動物皮屑、二手菸、冷空氣、運動、藥物(阿斯匹靈、非類固醇消炎藥、乙型阻斷劑)、呼吸道感染。用藥須分清兩類:控制藥物以吸入型皮質類固醇為主,需每日規律使用、不會立即緩解症狀;緩解藥物為短效乙二型交感神經興奮劑,僅供急性發作時使用,若緩解藥用量增加代表控制不佳。監測工具為尖峰呼氣流速計與綠黃紅三區行動計畫。延伸概念:空氣品質指標 AQI 分級、PM2.5 健康效應。",[24,26,28,30],{"term":25,"count":10},"氣喘誘發因子",{"term":27,"count":10},"環境控制",{"term":29,"count":10},"懸浮微粒與空氣污染",{"term":31,"count":10},"氣喘控制藥物",[33,37,42,47,52,57],{"webId":34,"stem":35,"number":36,"year":9,"session":10},"nurse-115-1-psychiatric-community-036","依據身體質量指數，身高154公分、體重66公斤的成人，其體位是屬於：",36,{"webId":38,"stem":39,"number":40,"year":41,"session":10},"nurse-106-1-psychiatric-community-032","關於飲食障礙病人於急性病房住院第一階段的飲食行為約定內容，下列何者正確？",32,106,{"webId":43,"stem":44,"number":45,"year":41,"session":46},"nurse-106-2-psychiatric-community-046","有關流行病學中所謂的「流行病」，下列何者正確？",46,2,{"webId":48,"stem":49,"number":50,"year":51,"session":46},"nurse-108-2-psychiatric-community-004","一位剛入院的精神病人林先生，情緒焦躁，因想打電話通知家人辦理出院，跑到護理站前要求出院，對工作人員大聲謾罵，並企圖攻擊護理師，面對該情緒失控的病人，下列何項措施較適切？",4,108,{"webId":53,"stem":54,"number":55,"year":56,"session":46},"nurse-109-2-psychiatric-community-048","有關全民健保之敘述，下列何者錯誤？",48,109,{"webId":58,"stem":59,"number":46,"year":60,"session":10},"nurse-111-1-psychiatric-community-002","社區內舉辦新手媽媽講座，教導懷孕的身心變化相關課程，是屬於精神心理衛生工作中的那一級的預防？",111,"2026-08-06",1787299090081]