[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-115-2-psychiatric-community-041":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"lastmod":63},"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-041","nurse-115-2-psychiatric-community-041",115,2,41,"在推展或擬定原住民健康相關政策時，下列何者最不適當？",{"A":14,"B":15,"C":16,"D":17},"將文化能力與文化安全要素列為政策推動之重要關鍵指標","將文化能力或敏感度導入人才訓練","完整體現健康、疾病、心理衛生、性別、老化與文化等關鍵概念","整合各部落文化和傳統，提供一致性之醫療照護","D",null,[],"本題考點是文化能力（cultural competence）與文化安全（cultural safety）在原住民健康政策中的核心意涵。文化安全強調照護是否安全由服務對象自己判定，重點在承認族群內部的多樣性、權力關係與歷史脈絡。台灣原住民各族與各部落在語言、信仰、家庭結構、飲食與健康觀上差異極大，把各部落文化與傳統「整合」後提供一致性的醫療照護，等於用單一標準覆蓋差異，正是文化安全要避免的同化式作法，故 D 最不適當。A 將文化能力與文化安全列為政策推動的關鍵指標、B 把文化能力與敏感度導入人才訓練、C 完整涵蓋健康、疾病、心理衛生、性別、老化與文化等概念，都符合文化照護的政策方向。","文化照護概念有三個由淺至深的層次，考題常拿來互相對照：文化敏感度（察覺差異的存在）→ 文化能力（具備跨文化溝通與服務調整的知識技能）→ 文化安全（由被照顧者評價服務有無造成貶抑或傷害，並要求檢視制度性權力不對等）。Leininger 的文化照護理論提供三種照護行動可與之呼應：文化照護的保留、協商與重塑，重點都在與服務對象共同決定而非替其決定。原住民族健康不平等的實證面向包括平均餘命與健康餘命落差、事故傷害與肝病死亡率偏高、代謝症候群盛行率較高、以及醫療資源可近性受地理限制。政策面的具體對應是原住民族地區與山地離島鄉的整合性醫療照護計畫（IDS），以及長期照顧體系對原住民採提前納入的年齡設計——長照 2.0 對 55 歲以上的失能原住民即可收案，較一般族群的 65 歲提前，制度上正是回應健康餘命落差的設計。",[24,27,29,31],{"term":25,"count":26},"文化安全與文化能力",1,{"term":28,"count":26},"原住民族健康不平等",{"term":30,"count":26},"Leininger 文化照護理論",{"term":32,"count":26},"長照 2.0 原住民收案年齡",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-115-2-psychiatric-community-042","張老先生獨居於無電梯公寓五樓，罹患肺氣腫 30 餘年，目前上下樓梯困難。有關護理師提供的資源轉介，下列何者最不適當？",42,{"webId":39,"stem":40,"number":41,"year":42,"session":10},"nurse-106-2-psychiatric-community-008","根據溝通分析理論（Transactional Analysis），護理師告訴病人：「參加活動可以幫助你增加社交技巧的能力。」病人回應表示：「我好累喔，拜託讓我休息嘛。」這是屬於何種溝通型態？",8,106,{"webId":44,"stem":45,"number":46,"year":47,"session":26},"nurse-107-1-psychiatric-community-022","憂鬱症病人最容易發生自殺的期間為何？",22,107,{"webId":49,"stem":50,"number":51,"year":52,"session":10},"nurse-108-2-psychiatric-community-060","有關社區衛生護理的發展，下列敘述何者錯誤？",60,108,{"webId":54,"stem":55,"number":56,"year":57,"session":26},"nurse-110-1-psychiatric-community-024","護理師在精神科急性病房照顧王老先生期間，王老先生常表示她就像是自己的女兒一樣，並以「女兒」稱呼護理師。對此狀況之解釋，下列敘述何者較適當？",24,110,{"webId":59,"stem":60,"number":61,"year":62,"session":26},"nurse-111-1-psychiatric-community-058","有關空氣污染的敘述，下列何者正確？",58,111,"2026-08-06",1787299017206]