[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-110-1-psychiatric-community-029":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"lastmod":64},"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-110-1-精神科與社區衛生護理學-029","nurse-110-1-psychiatric-community-029",110,1,29,"關於認知障礙症病人之臨床症狀，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"定向感障礙部分，通常先發生對人物的定向感障礙","記憶力減退部分，通常先發生遠期的記憶障礙","感覺知覺障礙部分，較少出現日落症候群","語言功能部分，可能出現語言整合、理解及表達能力減退，或出現失語症","D",null,[],"本題考點為認知障礙症(dementia)的臨床症狀特徵。考點在於辨識「語言功能可能出現整合、理解、表達減退或失語症」,故選D。依認知障礙症病程,語言退化常見,包括命名困難、理解與表達障礙乃至失語症,故D正確。A錯在定向感障礙的順序通常是「時間先、地點次、人物最後」受損,對人物的定向感反而保留最久。B錯在記憶退化通常是「近期記憶先受損、遠期記憶較晚」,近事遺忘為早期特徵。C錯在認知障礙症病人常出現日落症候群(sundowning),即黃昏時混亂、躁動加劇,而非較少出現。","認知障礙症的退化有可預測的順序,常入題:定向感依「時間→地點→人物」流失(人物最耐久);記憶依「近期→遠期」流失(所以病人記得年輕往事卻忘了剛吃過飯)。日落症候群是黃昏後認知與行為惡化的現象,與生理時鐘、光線減少、疲勞、環境陌生有關,護理上以維持日間活動、傍晚增加照明、減少刺激因應。失語(aphasia)、失用(apraxia)、失認(agnosia)是皮質型失智的重要語言與功能徵象。本題A、B、C分別把定向、記憶、日落症候群三個特徵「說反」,是典型的方向性陷阱題。",[24,27,30,32],{"term":25,"count":26},"日落症候群",7,{"term":28,"count":29},"近期記憶先受損",2,{"term":31,"count":10},"認知障礙症症狀",{"term":33,"count":10},"定向感流失順序",[35,39,43,48,53,58],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-110-1-psychiatric-community-030","對於暴食症（Bulimia Nervosa）病人的特徵之敘述，下列何者錯誤？",30,{"webId":40,"stem":41,"number":42,"year":9,"session":29},"nurse-110-2-psychiatric-community-046","承上題，健康里的一般生育率（general fertility rate , GFR），下列何者正確？",46,{"webId":44,"stem":45,"number":46,"year":47,"session":10},"nurse-111-1-psychiatric-community-060","自來水廠淨水工程中採用的曝氣法，主要目的為何？①增加一氧化碳，抑制藻類植物的生長 ②去除水中有害氣體及不良氣味 ③過濾及淨化水質 ④提高 pH 值，以減少水管腐蝕性",60,111,{"webId":49,"stem":50,"number":51,"year":52,"session":29},"nurse-112-2-psychiatric-community-018","護理師與憂鬱症病人護病關係的建立，下列何者正確？①同理病人的感受和想法 ②給予簡單且直接的訊息 ③採取督促方式陪伴病人 ④協助表達其想法和感覺",18,112,{"webId":54,"stem":55,"number":56,"year":57,"session":29},"nurse-113-2-psychiatric-community-042","全民健康保險中，為避免被保險人醫療資源不當使用，所導致的道德危害（moral hazard），採用下列何項措施？",42,113,{"webId":59,"stem":60,"number":61,"year":62,"session":63},"nurse-114-3-psychiatric-community-036","護理師培訓社區當地戒菸種子以強化校園周遭商店不得販賣菸品予未滿 18 歲青少年之宣導，此符合渥太華健康促進憲章何項行動綱領？",36,114,3,"2026-09-04",1788510722660]