[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-115-2-psychiatric-community-042":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":35,"lastmod":65},"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":25},"nurse-115-2-精神科與社區衛生護理學-042","nurse-115-2-psychiatric-community-042",115,2,42,"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？",{"A":14,"B":15,"C":16,"D":17},"送餐服務","共餐服務","居家服務","輔具中心","B",null,[],"本題考點在於依個案的活動功能限制篩選可用的社區資源。張老先生罹患肺氣腫三十餘年,活動時易喘且住在無電梯公寓五樓、上下樓梯困難,可用資源必須能送達家中或改善移動能力;共餐服務須本人外出至定點用餐,對他而言可及性最低,故最不適當,選 B。A 送餐服務由志工或業者將餐食送至家中,不需外出。C 居家服務由照顧服務員到宅協助身體照顧與家務、代購,直接解決外出困難。D 輔具中心可評估與提供助行器、輪椅、氧氣設備等,並提供居家無障礙改善諮詢,能減輕活動時的呼吸負荷。","轉介資源前先做三件事:評估功能(ADL、IADL、活動耐力與呼吸功能)、評估環境(樓層、電梯、樓梯、浴室與無障礙設施)、評估支持系統(同住者與可用人力),再對照資源的服務方式是到宅式或定點式。到宅式包括送餐、居家服務、居家護理、居家復能、居家醫療、輔具到宅評估;定點式與社區式包括共餐、社區照顧關懷據點、日間照顧中心、長青學苑、C 級巷弄長照站,後者都以個案能自行或有人協助前往為前提。肺氣腫屬慢性阻塞性肺疾病,病生理是肺泡壁破壞、彈性回縮力下降造成氣體滯留與過度充氣,呼氣氣流受限使活動時呼吸功耗大增,因此爬樓梯這類負荷會誘發嚴重呼吸困難。可延伸複習:呼吸復健的圓唇呼吸與腹式呼吸、能量節約原則、長照 2.0 四包錢中的照顧及專業服務、交通接送、輔具及居家無障礙環境改善與喘息服務。",[24,26,29,31,33],{"term":16,"count":25},3,{"term":27,"count":28},"社區資源轉介",1,{"term":30,"count":28},"肺氣腫活動耐力受限",{"term":32,"count":28},"送餐與共餐服務差異",{"term":34,"count":28},"輔具與無障礙環境改善",[36,40,45,50,55,60],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-115-2-psychiatric-community-043","護理師對於健康的獨居老人建議使用的社區資源，下列何者最不適當？",43,{"webId":41,"stem":42,"number":43,"year":44,"session":10},"nurse-106-2-psychiatric-community-009","有關環境治療的敘述，下列何項正確？①躁症病人應減低過度的環境刺激 ②監視憂鬱症病人防止自殺行為 ③提供思覺失調症病人新的認同對象 ④行為失控時即刻使用身體約束及保護隔離",9,106,{"webId":46,"stem":47,"number":48,"year":49,"session":28},"nurse-107-1-psychiatric-community-023","有關心理防禦機轉之敘述，下列何者正確？",23,107,{"webId":51,"stem":52,"number":53,"year":54,"session":10},"nurse-108-2-psychiatric-community-061","關於實驗流行病學中的臨床試驗（clinical trial），下列何者正確？①隨機分派（random assignment）是必要條件 ②適合探討因果關係 ③以團體或社區為研究對象 ④最大缺點為容易產生回憶偏差",61,108,{"webId":56,"stem":57,"number":58,"year":59,"session":28},"nurse-110-1-psychiatric-community-025","依據 DSM-5 所訂定之標準，物質使用障礙症（substance use disorders）中，有關耐受性（tolerance）的敘述，下列何者正確？",25,110,{"webId":61,"stem":62,"number":63,"year":64,"session":28},"nurse-111-1-psychiatric-community-059","有關食品添加物之敘述，下列何者錯誤？",59,111,"2026-08-06",1787299017224]