[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-108-2-psychiatric-community-019":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"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":26},"nurse-108-2-精神科與社區衛生護理學-019","nurse-108-2-psychiatric-community-019",108,2,19,"有關阿茲海默症的敘述，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"通常是先對人、時、地，依序產生定向感障礙","記憶力的喪失依序為立即→近期→遠期","記憶障礙症狀通常是急性期出現","白天因為刺激多，所以白天症狀較混亂","B",null,[],"本題考點是阿茲海默症的臨床特徵，選正確者。依失智症記憶退化原則，遠期（久遠）記憶保留最久，立即與近期記憶最先受損，故記憶喪失大致依「立即→近期→遠期」的順序進行（B正確）。A錯在定向感障礙通常依「時間→地點→人物」順序出現，而非先對人；C錯在阿茲海默症為隱襲、漸進性退化，並非在急性期出現；D錯在患者常見「日落症候群」，症狀在傍晚／夜間（刺激與光線減少時）反而加重，並非白天較混亂。故答案B。","阿茲海默症病理為β類澱粉蛋白斑塊與神經纖維纏結，海馬迴受損早，故最先影響「新記憶的形成」（近期記憶），久遠且反覆鞏固的遠期記憶保留最久——這也解釋為何患者記不得剛發生的事，卻能談童年往事。定向感喪失順序『時間→地點→人物』（先忘今天幾號、再忘身在何處、最後忘身邊親人），可與記憶退化並列記憶。日落症候群（sundowning）指黃昏後因光線與環境線索減少、疲累而混亂、躁動加重，護理上以規律作息、充足照明、減少夜間刺激因應。",[24,27,29,32],{"term":25,"count":26},"日落症候群",7,{"term":28,"count":10},"阿茲海默症",{"term":30,"count":31},"遠期記憶保留最久",1,{"term":33,"count":31},"定向感時間先喪失",[35,39,44,48,53,58],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-108-2-psychiatric-community-020","照護雙相情緒障礙症病人，因病人情緒高昂與挑釁，護理師出現生氣厭煩情緒，此時護理師該如何處理自己的情感反轉移？",20,{"webId":40,"stem":41,"number":42,"year":43,"session":31},"nurse-109-1-psychiatric-community-036","陳護理師服務於精神護理之家，她需協助住民提升其日常生活照顧功能。下列何項護理處置最適切？",36,109,{"webId":45,"stem":46,"number":47,"year":43,"session":10},"nurse-109-2-psychiatric-community-050","下列何種方式可以蒐集社區居民對社區問題的了解及解決的動機，有助於排定執行的優先次序？",50,{"webId":49,"stem":50,"number":51,"year":52,"session":31},"nurse-111-1-psychiatric-community-008","護理師在病房照護病人，經常會應用行為治療協助病人行為改變，下列敘述何者最適當？",8,111,{"webId":54,"stem":55,"number":56,"year":57,"session":31},"nurse-112-1-psychiatric-community-052","依據羅斯（Ross）的社區種類，糖尿病病友團體是屬於那一種社區？",52,112,{"webId":59,"stem":60,"number":42,"year":61,"session":31},"nurse-113-1-psychiatric-community-036","平安社區老年人口逐年增加，里長規劃安全的健走步道，並在公園內增設運動器材且定期維護確保安全性。根據社會生態模式，是屬於何項因素之介入措施？",113,"2026-09-04",1788510707622]