[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-115-1-psychiatric-community-042":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":35,"lastmod":64},"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-042","nurse-115-1-psychiatric-community-042",115,1,42,"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？",{"A":14,"B":15,"C":16,"D":17},"鼓勵大明的父母修正全家的生活型態，以體重控制為主要目標","鼓勵大明由目前的體位漸進式減重，每個月0.5公斤為限","建議大明母親在產後三個月起停止母乳哺餵，以免導致嬰兒體重過重","衛教大明父母親須留意大明的身體心像","C",null,[],"本題考點為家庭為中心的兒童體重管理與母乳哺餵的保護效果。母乳哺餵已被視為兒童肥胖的保護因子,哺餵母乳的嬰兒較能依自身飢餓與飽足訊號自我調節攝食量,且母乳成分隨月齡變動,並無因哺餵而導致嬰兒體重過重的實證,以避免肥胖為由要求產後三個月停止哺餵,方向錯誤且損及嬰兒免疫與親子依附,故 C 最不適當,為正解。A 適當:兒童肥胖多與家庭共同的飲食與活動型態有關,以全家生活型態調整為標的效果較佳。B 適當:學齡兒童仍在生長階段,採漸進式、每月約零點五公斤的減重速度可避免影響發育。D 適當:留意身體心像可預防因體重被責備而衍生的自尊低落與飲食失調。","兒童肥胖處置與成人最大的差異在於「不以絕對體重下降為唯一目標」:多數學齡兒童採維持體重、讓身高持續生長以自然降低 BMI 百分位,僅重度肥胖或已出現合併症者才需明顯減重。家庭是介入單位而非只針對兒童,理由是飲食採買、烹調方式、含糖飲料供應與久坐行為都由家庭決定,且父母是最直接的角色模範。評估工具為兒童與青少年生長曲線的年齡別性別別 BMI 百分位(85 至 95 百分位為過重、95 百分位以上為肥胖),不可直接套用成人切點。延伸概念:母乳哺餵的長期保護效果、身體心像與飲食失調、母嬰親善醫療院所認證。",[24,27,29,31,33],{"term":25,"count":26},"兒童肥胖",2,{"term":28,"count":26},"身體心像",{"term":30,"count":10},"母乳哺餵保護因子",{"term":32,"count":10},"家庭為中心的照護",{"term":34,"count":10},"生長曲線百分位",[36,40,45,49,54,59],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-115-1-psychiatric-community-043","有關葡萄糖-6-磷酸鹽去氫酶（G-6-PD）的護理指導，下列何者錯誤？",43,{"webId":41,"stem":42,"number":43,"year":44,"session":10},"nurse-106-1-psychiatric-community-039","李先生受被害妄想影響，認為有人要對他不利，拿出身上預藏的水果刀表示要傷害對他不利的人，下列處置何項最適切？",39,106,{"webId":46,"stem":47,"number":48,"year":44,"session":26},"nurse-106-2-psychiatric-community-053","吳先生因吞嚥功能受損，近日接受胃造口手術後返家，護理師家訪時，下列何種方式最能確認吳太太對吳先生執行胃造口換藥的能力？",53,{"webId":50,"stem":51,"number":52,"year":53,"session":26},"nurse-108-2-psychiatric-community-011","參與團體治療後，病人分享：「團體中別人給我的回饋幫助我了解到，如何表達自我感受，才不會造成不好的後果」，這表示團體治療對此病人最能達到下列何種治療因子？",11,108,{"webId":55,"stem":56,"number":57,"year":58,"session":26},"nurse-109-2-psychiatric-community-055","有關社區護理師在推動健康促進計畫的角色與功能，下列何者最不適當？",55,109,{"webId":60,"stem":61,"number":62,"year":63,"session":10},"nurse-111-1-psychiatric-community-009","協助危機狀態生還者之個別性處置（individual approach），下列何者最適當？",9,111,"2026-08-06",1787299090145]