[{"data":1,"prerenderedAt":67},["ShallowReactive",2],{"q-nurse-115-1-psychiatric-community-041":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":37,"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-041","nurse-115-1-psychiatric-community-041",115,1,41,"有關提升原住民慢性病健康照護政策之敘述，下列何者最不適當？",{"A":14,"B":15,"C":16,"D":17},"運用三段五級概念避免及延緩慢性病患者失能發生、壓縮失能的期間","運用部落社區特性進行社區健康營造","提供兼具文化傳承的健康飲食課程","成立原住民族文化健康站，服務45歲以上健康、亞健康、衰弱、輕度失能原住民","D",null,[],"本題考點為原住民族健康政策中文化健康站的服務對象規定。原住民族委員會推動的部落文化健康站,考量原住民族平均餘命較全國短、慢性病與失能發生年齡提早,服務對象訂為五十五歲以上原住民族長者,選項所述四十五歲以上與現行規定不符,故 D 最不適當,為正解。A 適當:以三段五級架構同時處理健康促進、篩檢與復健,正是壓縮失能期間的政策思維。B 適當:依部落既有組織與文化脈絡推動社區健康營造,符合由下而上的健康促進原則。C 適當:結合傳統飲食與文化傳承設計營養課程,提高服務的文化可接受性,有助長期遵從。","原住民族健康政策的核心問題是健康不平等:原住民族平均餘命較全國約短八歲,事故傷害、肝病、慢性肝病及肝硬化、糖尿病與腎病死亡率偏高,且醫療資源分布不均。對應政策工具包含全民健康保險山地離島地區醫療給付效益提升計畫(IDS)、原住民族及離島地區醫事人員養成計畫(公費生)、部落文化健康站與原住民族健康法。文化健康站的定位是預防與延緩失能的社區據點,與長照 2.0 的 C 級巷弄長照站功能相銜接,強調族語溝通與文化照顧能力。延伸概念:文化敏感度與文化能力、健康識能、健康不平等的社會決定因素。",[24,27,30,33,35],{"term":25,"count":26},"三段五級預防",27,{"term":28,"count":29},"健康不平等",4,{"term":31,"count":32},"文化照顧",2,{"term":34,"count":10},"原住民族健康政策",{"term":36,"count":10},"文化健康站",[38,42,47,51,56,61],{"webId":39,"stem":40,"number":41,"year":9,"session":10},"nurse-115-1-psychiatric-community-042","護理師家訪就讀國小二年級被判定體重肥胖的大明，發現全家皆有體位異常問題，目前大明母親懷孕8個月，護理師與大明及其父母一起討論如何協助家庭成員維持正常體位。下列敘述何者最不適當？",42,{"webId":43,"stem":44,"number":45,"year":46,"session":10},"nurse-106-1-psychiatric-community-038","關於自殺（suicide）的敘述，下列何者正確？",38,106,{"webId":48,"stem":49,"number":50,"year":46,"session":32},"nurse-106-2-psychiatric-community-052","全民健康保險為自給自足、自負盈虧之社會保險，以隨收隨付制維持短期財務平衡，其收入來源下列何者正確？①保險對象、雇主及政府共同分擔之保險費 ②菸品健康福利捐 ③公益彩券盈餘分配之收入 ④企業捐款",52,{"webId":52,"stem":53,"number":54,"year":55,"session":32},"nurse-108-2-psychiatric-community-010","王先生，國立大學法律系畢業，住院第三天，診斷為雙相情緒障礙症，正處於躁期，擔心自己吃藥後可能產生副作用，要求借閱藥品手冊以了解自己所服藥物的合理劑量，護理師查閱病歷，確認病人的藥物劑量在合理的成人劑量範圍，護理師的回應下列何者最適合？",10,108,{"webId":57,"stem":58,"number":59,"year":60,"session":32},"nurse-109-2-psychiatric-community-054","推動酒駕罰則以降低酒後駕車事故發生率，是屬於下列何種健康促進介入措施？",54,109,{"webId":62,"stem":63,"number":64,"year":65,"session":10},"nurse-111-1-psychiatric-community-008","護理師在病房照護病人，經常會應用行為治療協助病人行為改變，下列敘述何者最適當？",8,111,"2026-08-06",1787299090142]