[{"data":1,"prerenderedAt":68},["ShallowReactive",2],{"q-nurse-115-2-psychiatric-community-032":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":36,"lastmod":67},"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-115-2-精神科與社區衛生護理學-032","nurse-115-2-psychiatric-community-032",115,2,32,"計畫執行初期欲評估是否符合社區民眾的需求，此屬於下列何項評價？",{"A":14,"B":15,"C":16,"D":17},"形成性評價（formative evaluation）","效率評價（efficiency evaluation）","衝擊評價（impact evaluation）","效果評價（effectiveness evaluation）","A",null,[],"本題考點在於社區衛生計畫評價的類型與時間點。形成性評價是在計畫規劃與執行過程中進行,目的在檢視計畫內容、方式是否符合對象需求並即時修正,故計畫執行初期評估是否符合社區民眾需求屬形成性評價,選 A。B 效率評價比較投入成本與產出效益,回答的是划不划算。C 衝擊評價衡量計畫對社區長期、整體的改變,例如發生率或死亡率下降,屬總結性評價且需較長時間。D 效果評價檢視預定目標達成的程度,是在計畫結束後檢核成果,同樣屬總結性評價。","評價可用時間軸切開:計畫進行中做的是形成性評價(過程評價、結構評價),計畫結束後做的是總結性評價(效果、效率、衝擊)。再用問句對照更清楚——形成性問「做得對不對、要不要調整」;效果問「目標達成了嗎」;效率問「花的錢與人力值得嗎」;衝擊問「社區整體健康狀況改變了嗎」。以社區戒菸班為例:上課途中回收學員意見調整教材是形成性;結訓時計算戒菸成功率是效果;算每位成功戒菸者花費多少經費是效率;數年後觀察社區吸菸率與肺癌發生率變化是衝擊。可延伸連結 Donabedian 的結構、過程、結果三面向品質評值架構,以及 PRECEDE-PROCEED 模式中過程、影響、結果三層評價的對應關係。",[24,27,29,32,34],{"term":25,"count":26},"形成性評價",4,{"term":28,"count":26},"衝擊評價",{"term":30,"count":31},"總結性評價",3,{"term":33,"count":31},"效果評價",{"term":35,"count":10},"效率評價",[37,41,47,52,57,62],{"webId":38,"stem":39,"number":40,"year":9,"session":10},"nurse-115-2-psychiatric-community-033","護理師欲針對社區健康問題的優先順序與社區居民達成共識，下列那一個方法最適當？",33,{"webId":42,"stem":43,"number":44,"year":45,"session":46},"nurse-106-1-psychiatric-community-079","社區衛生護理師對糖尿病民眾的運動指導，下列何者正確？①以有氧運動最佳 ②如想要減重，則需每星期達到 120 分鐘的運動 ③必須從事高強度的運動，才能達到減重效果 ④晨起運動者，宜先進食部分食物",79,106,1,{"webId":48,"stem":49,"number":50,"year":51,"session":46},"nurse-107-1-psychiatric-community-013","思覺失調症病人當出現劇渴而有大量飲水的現象時，臨床上應採取那些醫療處置，以監測其飲水量？ ①估計晝間體重增加的百分比 ②測量尿比重 ③抽驗血鈉值 ④抽驗血鉀值",13,107,{"webId":53,"stem":54,"number":55,"year":56,"session":10},"nurse-108-2-psychiatric-community-051","王先生與張女士同居三年，他們領養一個三歲小男孩，請問下列那一個家系圖符合前述狀況？",51,108,{"webId":58,"stem":59,"number":60,"year":61,"session":46},"nurse-110-1-psychiatric-community-015","牛先生，最近被診斷為憂鬱症，醫師開立服用 sertraline（Zoloft ® ）藥物治療，有關 Zoloft 之敘述，下列何者正確？①選擇性血清素回收抑制劑（SSRIs） ②血清素－正腎上腺素回收抑制劑（SNRIs） ③一般持續服用 2 週以上才有療效出現 ④服藥會有嗜睡、噁心嘔吐等副作用",15,110,{"webId":63,"stem":64,"number":65,"year":66,"session":46},"nurse-111-1-psychiatric-community-049","有關結核病的敘述，下列何者錯誤？",49,111,"2026-08-06",1787299017098]