[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-115-2-psychiatric-community-049":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":10},"nurse-115-2-精神科與社區衛生護理學-049","nurse-115-2-psychiatric-community-049",115,2,49,"陳太太 66 歲，被診斷高血壓已 5 年，定期用藥，目前並無不適症狀。護理師提供的指導，下列何項最不適當？",{"A":14,"B":15,"C":16,"D":17},"每年參加成人健康檢查","血壓控制良好，可暫停藥物觀察","保持排便通暢，預防便秘","建議每日鹽攝取量少於 6 公克","B",null,[],"本題考點在於高血壓慢性病的長期用藥觀念與自我照顧指導。高血壓多為原發性、無法治癒,藥物是控制而非根治,血壓穩定代表現行治療有效,自行暫停藥物將使血壓反彈上升,部分藥品(如乙型受體阻斷劑)驟停還可能出現反彈性心搏過速與血壓竄升,故血壓控制良好可暫停藥物觀察最不適當,選 B。A 適當,依成人預防保健服務規定六十五歲以上每年可做一次健康檢查。C 適當,便秘用力解便會經由伐氏操作使血壓與顱內壓波動。D 適當,依國民飲食指標建議每日食鹽攝取量不超過六公克(約鈉 2400 毫克)。","高血壓自我照顧可用生活型態六招記憶,即得舒飲食(DASH:高鉀、高鎂、高鈣、高纖、低飽和脂肪)、限鈉、規律有氧運動、體重控制、限酒與戒菸、壓力管理,合併規律服藥與居家血壓監測(建議 722 原則:連續七天、早晚兩回、每回量兩次取平均)。停藥的風險除血壓反彈外,還包含長期高血壓造成的標的器官傷害——左心室肥厚與心臟衰竭、腦中風、高血壓性腎病變與視網膜病變,這些傷害多在無症狀期悄然累積,正是高血壓被稱為沉默殺手的原因,也說明無不適不等於不需治療。用藥衛教常考點:利尿劑注意低血鉀與夜間排尿、鈣離子通道阻斷劑注意腳踝水腫與便秘且避免與葡萄柚汁併服、ACE 抑制劑注意乾咳與高血鉀、乙型受體阻斷劑注意心跳過慢及不可驟然停藥、服藥後起身宜緩以防姿勢性低血壓。",[24,26,29,31,33],{"term":25,"count":10},"成人預防保健服務",{"term":27,"count":28},"高血壓長期用藥",1,{"term":30,"count":28},"藥物驟停反彈現象",{"term":32,"count":28},"每日鈉鹽建議攝取量",{"term":34,"count":28},"標的器官傷害",[36,40,45,50,55,60],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-115-2-psychiatric-community-050","有關慢性腎臟病飲食衛教指導，下列何者最不適當？",50,{"webId":41,"stem":42,"number":43,"year":44,"session":10},"nurse-106-2-psychiatric-community-016","承上題，王先生容易受環境刺激，而變得更加躁動不安，下列措施何者最適宜？",16,106,{"webId":46,"stem":47,"number":48,"year":49,"session":28},"nurse-107-1-psychiatric-community-030","李同學，18 歲，罹患重鬱症，向護理師表示：「每次自己交女朋友時，雖然感情很穩定，但每次面對親密關係時，總是很害怕會被拋棄，所以自己就覺得情緒很黑暗。」根據上述，李同學的情緒問題和下列何者最有關？",30,107,{"webId":51,"stem":52,"number":53,"year":54,"session":10},"nurse-108-2-psychiatric-community-068","根據 Pender 的健康促進模式，影響個體預防性健康行為，主要包括那些因素？①個人特質與經驗 ② 行為特異性的認知與情感 ③行為結果 ④政策與法規",68,108,{"webId":56,"stem":57,"number":58,"year":59,"session":28},"nurse-110-1-psychiatric-community-032","黃先生 43 歲，診斷為思覺失調症，症狀經常反覆惡化，兩個月前才剛出院返家，今日又因拒服藥、自我照顧能力差、暴力攻擊家人而入院，下列敘述何者正確？",32,110,{"webId":61,"stem":62,"number":63,"year":64,"session":28},"nurse-111-1-psychiatric-community-066","某公司工作現場環境測定後，報告中出現 8 小時日時量平均容許濃度（time weighted average, TWA）是代表什麼意思？",66,111,"2026-08-06",1787299017312]