[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-106-2-psychiatric-community-024":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"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-106-2-精神科與社區衛生護理學-024","nurse-106-2-psychiatric-community-024",106,2,24,"老年失智症病人會出現黃昏症候群（sundown syndrome），係指下列何種現象？",{"A":14,"B":15,"C":16,"D":17},"病人黃昏後視覺產生變化，常出現幻覺","病人夜間生理時鐘受損，睡眠變差，入睡困難","病人黃昏後混亂、激動之情形惡化","病人夜間後開始昏昏欲睡，干擾程度降低","C",null,[],"本題考點為黃昏症候群（sundown syndrome）的定義。依失智照護觀察，黃昏症候群指失智病人在黃昏或傍晚時分，混亂、激動、焦躁與行為紊亂等症狀加劇的現象，故正解為 C。A 錯在其核心並非「視覺變化產生幻覺」，而是整體認知與情緒行為在傍晚惡化。B 錯在描述的是入睡困難、生理時鐘受損的睡眠問題，未點出黃昏時「混亂激動惡化」的定義核心。D 錯在方向相反，黃昏症候群是傍晚後症狀「惡化、干擾增加」，而非昏昏欲睡、干擾降低。","黃昏症候群典型表現：日落時分定向感變差、混亂、激躁、遊走、易怒加劇，成因與生理時鐘（日夜節律）失調、傍晚光線變暗、疲累、環境刺激改變有關。護理處置：傍晚保持環境明亮、減少嘈雜、維持規律作息、避免午睡過久。口訣「日落人亂」。與譫妄的意識波動不同，黃昏症候群是失智者症狀的時段性惡化，屬照護排班與環境調整的重點時段。",[24,27,30,32],{"term":25,"count":26},"失智症",3,{"term":28,"count":29},"黃昏症候群(sundown syndrome)",1,{"term":31,"count":29},"日夜節律失調",{"term":33,"count":29},"傍晚激躁惡化",[35,39,44,48,53,58],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-106-2-psychiatric-community-025","初次住院的王先生表示：「我一直聽到有個女生的聲音在我的耳邊罵我，我真的好痛苦！」護理師的回應，下列何者最適當？",25,{"webId":40,"stem":41,"number":42,"year":43,"session":29},"nurse-107-1-psychiatric-community-041","進入社區四處觀察居民生活環境、型態及互動之資料收集方式為何？",41,107,{"webId":45,"stem":46,"number":47,"year":43,"session":10},"nurse-107-2-psychiatric-community-055","下列何者不是家庭增能（family empowerment）的表現？",55,{"webId":49,"stem":50,"number":51,"year":52,"session":10},"nurse-109-2-psychiatric-community-013","朱同學 16 歲，因重度憂鬱症而住院治療，有關其住院時之環境治療，下列敘述何項正確？①環境須是高度結構化及控制的 ②以外在的控制處理其抗拒行為 ③協助個案統整好的／壞的自我 ④支持個案的自我探索及提供希望",13,109,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-110-2-psychiatric-community-057","有關衛生教育的評價，下列敘述何者正確？",57,110,{"webId":59,"stem":60,"number":61,"year":62,"session":29},"nurse-112-1-psychiatric-community-011","有關認知行為治療步驟的敘述，下列何者最不適宜？",11,112,"2026-09-04",1788510700078]