[{"data":1,"prerenderedAt":70},["ShallowReactive",2],{"q-nurse-115-2-psychiatric-community-044":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":39,"lastmod":69},"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-044","nurse-115-2-psychiatric-community-044",115,2,44,"有關職業衛生護理師應用三段五級進行健康服務之敘述，下列何者最不適當？",{"A":14,"B":15,"C":16,"D":17},"安排健康講座屬於初段一級預防","安排施打流感疫苗屬於初段二級預防","開設減重班屬於次段三級預防","對於已罹病個案給予適當健康處置及管理屬於末段四級預防","C",null,[],"本題考點在於三段五級預防的層級歸屬。初段預防含第一級健康促進與第二級特殊保護,次段預防為第三級早期診斷與早期治療,末段預防含第四級限制殘障與第五級復健。減重班的性質是在疾病發生前改善危險因子、屬健康促進,應歸初段一級而非次段三級,故 C 最不適當。A 正確,健康講座屬健康促進的衛教活動,為初段一級。B 正確,施打流感疫苗針對特定病原提供保護,屬初段二級特殊保護。D 正確,對已罹病者給予適當處置與管理以防病情惡化、避免失能,對應末段第四級限制殘障。","五級可用一句話串起來:「促進、保護、早診早治、限制殘障、復健」。歸類的判準是疾病自然史的時間點——尚未致病且無特定標的是第一級(衛教、運動、營養、體重管理、環境衛生);尚未致病但針對特定危害是第二級(疫苗、聽力防護具、口罩、防塵設備、加氟);已有病理變化但無症狀或早期是第三級(篩檢、健檢異常追蹤、及早用藥);已明顯罹病、目標是防惡化與併發症是第四級(慢性病個案管理、糖尿病足照護);功能已受損、目標是恢復功能與重返職場是第五級(復健、職務再設計、支持性就業)。職業衛生護理師的實務對照:作業環境改善與健康講座屬一級,特殊健康檢查與防護具屬二級,健檢異常分級管理與追蹤屬三級,職業病個案管理屬四級,復工評估與工作強化屬五級。",[24,27,30,33,36],{"term":25,"count":26},"三段五級預防",27,{"term":28,"count":29},"健康促進",17,{"term":31,"count":32},"特殊保護",10,{"term":34,"count":35},"限制殘障",4,{"term":37,"count":38},"職業衛生護理",3,[40,44,49,55,60,64],{"webId":41,"stem":42,"number":43,"year":9,"session":10},"nurse-115-2-psychiatric-community-045","從事玻璃成型工作者，最常造成下列那一種職業病？",45,{"webId":45,"stem":46,"number":47,"year":48,"session":10},"nurse-106-2-psychiatric-community-011","有關電氣痙攣療法（electroconvulsive therapy, ECT）護理照護的敘述，下列何者正確？",11,106,{"webId":50,"stem":51,"number":52,"year":53,"session":54},"nurse-107-1-psychiatric-community-025","有關蘇小姐因強迫症嚴重住院治療，常出現重複洗手行為，下列治療策略何者最適切？",25,107,1,{"webId":56,"stem":57,"number":58,"year":59,"session":10},"nurse-108-2-psychiatric-community-063","有關新型 A 型流感之描述，下列何者正確？①H1N1, H3N2 屬於每年週期性流行的流感 ②致死率約為 80～90% ③常見於禽鳥病毒傳染人類，如：H7N9, H5N1 ④密切接觸者須自主健康管理 5 天 ⑤發現個案須於 48 小時內通報",63,108,{"webId":61,"stem":62,"number":26,"year":63,"session":54},"nurse-110-1-psychiatric-community-027","酒精成癮的病人，因長期缺乏下列何種維生素，導致維尼克氏腦症（Wernicke’s encephalopathy），出現意識障礙、眼肌麻痺、運動失調症狀？",110,{"webId":65,"stem":66,"number":67,"year":68,"session":54},"nurse-111-1-psychiatric-community-061","當環境噪音達多少分貝以上時，應立即配戴防音的防護具？",61,111,"2026-08-06",1787299017235]