[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-107-1-psychiatric-community-029":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":32,"lastmod":62},"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-107-1-精神科與社區衛生護理學-029","nurse-107-1-psychiatric-community-029",107,1,29,"下列有關失智症之敘述，何者最適切？",{"A":14,"B":15,"C":16,"D":17},"病人因記憶力減退，會以虛談現象（confabulation）來應付記憶空缺，失智症末期才會有此症狀","失智症較常見的病因有神經退化與血管性疾病","失智症病人記憶缺損依遠期、近期及立即記憶力漸次喪失","定向感喪失在失智症患者，最早出現的是對親人的不認識，接著出現對時間的錯誤定向","B",null,[],"本題考點是失智症的病因與症狀特徵辨識。依流行病學,失智症最常見病因為神經退化性疾病(以阿茲海默症為首)與血管性疾病,兩者合計占多數,故選 B。A 錯在虛談(confabulation)並非失智症末期才出現,它是為填補記憶空缺而生的無意識編造,病程中即可見,非末期專屬。C 錯在記憶喪失的順序,失智症一般是立即與近期記憶先受損、遠期記憶較晚喪失,選項所述「依遠期、近期及立即漸次喪失」把順序寫反。D 錯在定向感喪失順序,失智症最早出現的是時間定向障礙,其次地點,最後才是人物(對親人不認識通常較晚),選項把人物擺到最前也寫反。故僅 B 對病因的陳述正確。","記憶喪失的黃金順序:即刻\u002F近期先壞、遠期後壞(所以病人記得幾十年前、卻忘了剛吃過飯);定向感喪失順序為「時間→地點→人物」。虛談是額葉與記憶迴路失調下的自動填空,非說謊。病因排序:退化性(阿茲海默最多)>血管性>其他(路易體、額顳葉等)。記憶口訣:「新的先忘、時間先亂」。可連結:阿茲海默病理(β類澱粉、tau)、血管性失智的階梯式退化、MMSE 評估。",[24,26,28,30],{"term":25,"count":10},"失智症病因",{"term":27,"count":10},"記憶喪失順序",{"term":29,"count":10},"定向感喪失順序",{"term":31,"count":10},"虛談現象",[33,37,42,47,52,57],{"webId":34,"stem":35,"number":36,"year":9,"session":10},"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,{"webId":38,"stem":39,"number":40,"year":9,"session":41},"nurse-107-2-psychiatric-community-046","依據勞動基準法第 52 條規定，除規定之休息時間外雇主應每日另提供產後職業婦女幾次哺乳時間？",46,2,{"webId":43,"stem":44,"number":45,"year":46,"session":41},"nurse-108-2-psychiatric-community-060","有關社區衛生護理的發展，下列敘述何者錯誤？",60,108,{"webId":48,"stem":49,"number":50,"year":51,"session":10},"nurse-110-1-psychiatric-community-018","王小姐被診斷為憂鬱症，她最常使用的防衛機轉，下列敘述何者正確？",18,110,{"webId":53,"stem":54,"number":55,"year":56,"session":10},"nurse-111-1-psychiatric-community-062","何小明欲成為無國界醫療人員，其父母雖憂心仍支持他。是屬於 APGAR 家庭功能評估量表中的何種功能？",62,111,{"webId":58,"stem":59,"number":60,"year":61,"session":41},"nurse-112-2-psychiatric-community-016","有關家庭治療的護理措施，下列何者最適宜？",16,112,"2026-09-04",1788510704271]