[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-110-2-psychiatric-community-031":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":35,"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-110-2-精神科與社區衛生護理學-031","nurse-110-2-psychiatric-community-031",110,2,31,"針對阿茲海默氏症引起重度認知障礙症的敘述，下列何者最適當？",{"A":14,"B":15,"C":16,"D":17},"日常生活不受影響","在傍晚和前半夜會較嚴重，出現日落症候群","遠期記憶減退通常是最先出現的記憶障礙","情緒變化與以前差別不大","B",null,[],"本題考點在阿茲海默氏症重度認知障礙的臨床表現。依阿茲海默症病程特徵，病人常在傍晚及前半夜出現混亂、躁動加劇的「日落症候群(sundowning)」，故選B最適當。A重度認知障礙會嚴重影響日常生活自理能力，說「日常生活不受影響」與重度定義矛盾;C阿茲海默症的記憶障礙以「近期記憶」最先受損(新記憶無法形成)，遠期記憶相對保留較久，說「遠期記憶最先減退」順序顛倒;D病程中常伴隨明顯情緒與人格改變(如淡漠、易怒、憂鬱)，說「情緒與以前差別不大」不符臨床，皆不適當。","阿茲海默症記憶損害由近而遠(近期先壞、遠期後失)，因海馬迴最早受侵犯。日落症候群指黃昏後混亂躁動加劇，與晝夜節律紊亂、疲勞、光線減少有關，處置採規律作息與環境照明調整。病程漸進不可逆，晚期全面失能。口訣「先忘剛剛、後忘從前；黃昏更亂」。可連結：近期記憶、海馬迴、日落症候群、乙醯膽鹼假說。",[24,27,30,33],{"term":25,"count":26},"日落症候群",7,{"term":28,"count":29},"認知障礙症",3,{"term":31,"count":32},"阿茲海默氏症",1,{"term":34,"count":32},"近期記憶損害",[36,40,45,49,54,59],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-110-2-psychiatric-community-032","有關臺灣老年精神健康問題與疾病，下列敘述何者正確？",32,{"webId":41,"stem":42,"number":43,"year":44,"session":32},"nurse-111-1-psychiatric-community-048","有關登革熱的敘述，下列何者錯誤？",48,111,{"webId":46,"stem":47,"number":48,"year":44,"session":10},"nurse-111-2-psychiatric-community-062","有關傳染病與其病媒的敘述，下列何者錯誤？",62,{"webId":50,"stem":51,"number":52,"year":53,"session":29},"nurse-112-3-psychiatric-community-020","出現柯沙寇夫症候群（Korsakoff’s syndrome）的酒精成癮者，其典型症狀為何？",20,112,{"webId":55,"stem":56,"number":57,"year":58,"session":32},"nurse-114-1-psychiatric-community-024","有關社區精神衛生護理的角色功能，下列何者最適切？",24,114,{"webId":60,"stem":61,"number":62,"year":63,"session":10},"nurse-115-2-psychiatric-community-018","有關厭食症（anorexia nervosa）的敘述，下列何者錯誤？",18,115,"2026-09-04",1788510730762]