[{"data":1,"prerenderedAt":62},["ShallowReactive",2],{"q-nurse-106-2-psychiatric-community-018":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"lastmod":61},"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-106-2-精神科與社區衛生護理學-018","nurse-106-2-psychiatric-community-018",106,2,18,"譫妄病人最常出現的幻覺為下列何者？",{"A":14,"B":15,"C":16,"D":17},"視幻覺","嗅幻覺","聽幻覺","觸幻覺","A",null,[],"本題考點為譫妄（delirium）最常見的幻覺類型。依譫妄的臨床特徵，其為急性、波動性的意識與認知障礙，幻覺以視幻覺（visual hallucination）最為常見，常為生動、恐怖的影像，故正解為 A。B 錯在嗅幻覺較常見於顳葉癲癇或特定器質性病變，非譫妄的典型。C 錯在聽幻覺是思覺失調症等原發精神病最典型的幻覺，而非譫妄的最常見型態。D 錯在觸幻覺較多見於物質戒斷（如酒精戒斷的蟻走感）或古柯鹼中毒，雖可出現於譫妄，但非最常見者。","區辨要訣：器質性／譫妄以「視幻覺」為主；功能性精神病（思覺失調）以「聽幻覺」為主。譫妄核心特徵：急性起病、注意力與意識波動（日落症候群式惡化）、認知全面受損，多有可辨識的生理病因（感染、電解質、藥物、缺氧）。看到「生動、恐怖的視幻覺＋意識混亂＋波動」即傾向譫妄。觸幻覺則提示戒斷或中毒。此對比是精神科與內外科交界的高頻考點。",[24,26,29,31],{"term":14,"count":25},5,{"term":27,"count":28},"譫妄(delirium)",1,{"term":30,"count":28},"器質性 vs 功能性幻覺",{"term":32,"count":28},"意識障礙",[34,38,43,47,52,57],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-106-2-psychiatric-community-019","臨床上採用 Aricept 作為治療阿茲海默症初、中期的記憶障礙，其主要作用機轉為何？",19,{"webId":39,"stem":40,"number":41,"year":42,"session":28},"nurse-107-1-psychiatric-community-035","護理師於精神復健病房擔任照護工作，其照顧慢性病患的原則，下列何者正確？",35,107,{"webId":44,"stem":45,"number":46,"year":42,"session":10},"nurse-107-2-psychiatric-community-049","5 個月大的小旬，應完成下列何種疫苗接種？",49,{"webId":48,"stem":49,"number":50,"year":51,"session":10},"nurse-109-2-psychiatric-community-007","40 歲的張小姐患有憂鬱症，某日向護理師抱怨：「吃藥讓我覺得非常不舒服，可否請你告訴醫生？」下列何項護理師的回答較為合適？",7,109,{"webId":53,"stem":54,"number":55,"year":56,"session":10},"nurse-110-2-psychiatric-community-051","進行社區健康評估時，評估社區民眾教育程度的主要理由，下列何者最適當？",51,110,{"webId":58,"stem":59,"number":25,"year":60,"session":28},"nurse-112-1-psychiatric-community-005","有關精神疾病與神經傳導物質失調之因素假說，下列敘述何者正確？",112,"2026-09-04",1788510700026]