[{"data":1,"prerenderedAt":67},["ShallowReactive",2],{"q-nurse-115-1-psychiatric-community-050":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-050","nurse-115-1-psychiatric-community-050",115,1,50,"有關代謝症候群及其健康照護的敘述，下列何者最適當？",{"A":14,"B":15,"C":16,"D":17},"最主要的原因是遺傳因素","是一群容易導致心血管代謝疾病的危險因子之總稱","三低健康飲食是指低油、低糖、低纖","罹患糖尿病者經藥物控制良好，即不屬之","B",null,[],"本題考點為代謝症候群的定義與健康照護重點。代謝症候群並非單一疾病,而是腹部肥胖、血壓偏高、空腹血糖偏高、三酸甘油酯偏高與高密度脂蛋白膽固醇偏低這一群危險因子的總稱,共同指向胰島素阻抗,並顯著提高日後罹患糖尿病、心臟病與中風的風險,故 B 最適當,為正解。A 不適當:雖有遺傳體質的成分,但最主要成因是熱量過剩、高油高糖飲食、缺乏身體活動與吸菸等生活型態因素。C 不適當:三低健康飲食指低油、低糖、低鹽,並應搭配高纖而非低纖。D 不適當:血糖項目在藥物治療下仍計為一項危險因子,不因控制良好而排除。","我國成人代謝症候群判定採五項中符合三項以上:腰圍男性 90 公分以上或女性 80 公分以上;血壓收縮壓 130 mmHg 以上或舒張壓 85 mmHg 以上;空腹血糖 100 mg\u002FdL 以上;三酸甘油酯 150 mg\u002FdL 以上;高密度脂蛋白膽固醇男性低於 40 mg\u002FdL 或女性低於 50 mg\u002FdL,其中血壓、血糖與血脂三項若已在藥物治療中仍計入。核心機轉是內臟脂肪堆積釋放游離脂肪酸與發炎細胞激素,造成胰島素阻抗與代償性高胰島素血症,進而推升血壓、血糖與血脂。介入以生活型態調整為第一線:飲食採低油低糖低鹽高纖、每週至少 150 分鐘中等強度身體活動、體重減輕百分之五至十即有明顯代謝改善。延伸概念:成人預防保健服務、慢性病防治三高管理。",[24,27,30,33,35],{"term":25,"count":26},"代謝症候群",8,{"term":28,"count":29},"胰島素阻抗",4,{"term":31,"count":32},"腰圍與中央型肥胖",3,{"term":34,"count":10},"三低一高飲食",{"term":36,"count":10},"心血管危險因子",[38,42,47,51,56,61],{"webId":39,"stem":40,"number":10,"year":9,"session":41},"nurse-115-2-psychiatric-community-001","林先生，診斷為思覺失調症（schizophrenia），近因被害妄想、情緒激躁，因此住院治療，一週後情緒趨於穩定，林先生詢問何時可以出院，下列護理師告知病人的處理何者最適當？",2,{"webId":43,"stem":44,"number":45,"year":46,"session":10},"nurse-106-1-psychiatric-community-047","為老人施打流感疫苗，是屬於那一種傳染病防治策略？",47,106,{"webId":48,"stem":49,"number":50,"year":46,"session":41},"nurse-106-2-psychiatric-community-061","骨質疏鬆症的危險因子，下列何者錯誤？",61,{"webId":52,"stem":53,"number":54,"year":55,"session":41},"nurse-108-2-psychiatric-community-019","有關阿茲海默症的敘述，下列何者正確？",19,108,{"webId":57,"stem":58,"number":59,"year":60,"session":41},"nurse-109-2-psychiatric-community-063","若要探討慢性疾病的致病機轉，下列那種致病模式最不適合？",63,109,{"webId":62,"stem":63,"number":64,"year":65,"session":10},"nurse-111-1-psychiatric-community-017","黃先生，診斷為思覺失調症（Schizophrenia），規則服藥，在社區復健機構接受治療時，被一位女性踩到腳，他認為自己是病人，又沒結婚，那位女性才會故意踩他的腳。下列何項護理措施最適當？",17,111,"2026-08-06",1787299090234]