[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-115-2-psychiatric-community-036":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-115-2-精神科與社區衛生護理學-036","nurse-115-2-psychiatric-community-036",115,2,36,"陳先生的膽固醇 255 mg\u002FdL、糖化血色素（HbA1c）8%，經就醫治療，加上運動及飲食調配，目前狀況穩定。陳先生說「我知道我可以做到，並且達到降低膽固醇及血糖回復到正常值目標」。根據 Pender 健康促進模式，是符合何項評估要素？",{"A":14,"B":15,"C":16,"D":17},"自覺易感性","情境間的影響","自覺自我效能","人際間的影響","C",null,[],"本題考點在於 Pender 健康促進模式中個人信念構面的辨識。自覺自我效能指個體對自己有能力完成特定健康行為並達成結果的判斷;陳先生說自己知道可以做到並達成膽固醇與血糖回復正常值的目標,表達的正是對自身執行能力的信心,故選 C。A 自覺易感性屬健康信念模式對罹病可能性的評估,並非 Pender 模式此處要評的內容。B 情境間的影響指環境、場所與情境選項對行為的助力或阻力,如運動場地是否可及。D 人際間的影響指家人、同儕與醫護人員的規範、支持與示範所產生的作用,題幹陳述並未提到他人的影響。","Pender 健康促進模式與健康信念模式的分水嶺在動機來源:健康信念模式由避免疾病的恐懼驅動,Pender 模式由追求更高安適狀態的正向期待驅動,所以 Pender 的構面裡沒有易感性與嚴重性,而是行動利益知覺、行動障礙知覺、自我效能知覺、行動相關情感、人際影響、情境影響,再加上行動計畫承諾與即刻競爭需求。判別口訣:講「我做得到」是自我效能;講「做了對我有好處」是利益知覺;講「太貴太累沒時間」是障礙知覺;講「家人陪我一起走路」是人際影響;講「公園就在樓下」是情境影響。自我效能概念源自 Bandura 社會認知理論,提升途徑有成功經驗、替代學習、口語說服與生理情緒狀態調節,可與跨理論模式的行動期一併延伸複習。",[24,27,29,31,33],{"term":25,"count":26},"Pender健康促進模式",3,{"term":16,"count":28},1,{"term":30,"count":28},"人際間影響",{"term":32,"count":28},"情境間影響",{"term":34,"count":28},"Bandura自我效能",[36,40,44,49,54,59],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-115-2-psychiatric-community-037","有關常見室內空氣污染物及其對健康的影響之敘述，下列何者最不適當？",37,{"webId":41,"stem":42,"number":26,"year":43,"session":10},"nurse-106-2-psychiatric-community-003","心理防衛機轉中，有關潛抑作用（repression）和壓抑作用（suppression）之敘述，下列何者正確？",106,{"webId":45,"stem":46,"number":47,"year":48,"session":28},"nurse-107-1-psychiatric-community-017","當大地震發生後一個月，救援隊伍及物資仍源源不絕進入災區協助救災，災難反應進入蜜月期，此期護理師最應關注災區民眾易被忽略的問題是什麼？",17,107,{"webId":50,"stem":51,"number":52,"year":53,"session":10},"nurse-108-2-psychiatric-community-055","目前臺灣全民健保居家護理訪視費用的給付項目，下列何者錯誤？",55,108,{"webId":55,"stem":56,"number":57,"year":58,"session":28},"nurse-110-1-psychiatric-community-019","有關社交焦慮症（social anxiety disorders）之敘述，下列何者較適當？",19,110,{"webId":60,"stem":61,"number":62,"year":63,"session":28},"nurse-111-1-psychiatric-community-053","有關社區資源盤點的功能，下列何者錯誤？",53,111,"2026-08-06",1787299017163]