[{"data":1,"prerenderedAt":60},["ShallowReactive",2],{"q-nurse-111-1-medical-surgical-001":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":31,"lastmod":59},"內外科護理學","medical-surgical",{"id":7,"webId":8,"year":9,"session":10,"subject":4,"number":10,"stem":11,"options":12,"answer":17,"answerNote":18,"images":19,"explanation":20,"explanationDeep":21,"topics":22,"freq":10},"nurse-111-1-內外科護理學-001","nurse-111-1-medical-surgical-001",111,1,"有關病人心智狀態評估內容的敘述，下列何者錯誤？",{"A":13,"B":14,"C":15,"D":16},"可以利用簡易心智狀況量表（Mini Mental State Examination, MMSE）進行測試","可以依判斷力、定向感、記憶力、注意力、抽象思考能力、計算力進行評估","詢問病人有關「人、時、地」的確認能力，主要是評估注意力","詢問老年病人年輕時的基本資料如求學、求職等，主要是評估遠期記憶力","C",null,[],"本題考點在於病人心智狀態(mental status)評估各項目的對應,並找出敘述錯誤者。依神經功能評估,詢問病人「人、時、地」的辨認能力評估的是「定向感(orientation)」,而非注意力,故 C 敘述錯誤,選 C。A 使用簡易心智狀況量表(MMSE)進行認知篩檢,正確;B 心智狀態評估涵蓋判斷力、定向感、記憶力、注意力、抽象思考與計算力等面向,正確;D 詢問老年病人年輕時求學求職等往事,評估的是遠期(長期)記憶力,正確。注意力應以如連續減七、倒背數字等測驗評估,與定向感的人時地辨認不同,故 C 混淆了兩者。","心智狀態評估重要區分:定向感=對人、時、地的辨認(orientation ×3);注意力=持續專注與操作訊息的能力,以 serial 7s(連續減七)、倒背數字、拼字倒念(WORLD 倒拼)測試;近期記憶=詢問剛才給的三樣物品或今日早餐;遠期記憶=詢問久遠往事(求學、婚姻)。MMSE 涵蓋定向、記憶登錄與回憶、注意力計算、語言與視覺空間等,總分 30。此題陷阱是把「人時地」錯配為注意力,實則屬定向感。延伸連結譫妄(急性、波動、注意力障礙為核心)與失智(慢性、記憶為先)在心智評估上的差異。",[23,25,27,29],{"term":24,"count":10},"心智狀態評估",{"term":26,"count":10},"定向感與注意力區分",{"term":28,"count":10},"MMSE 簡易心智量表",{"term":30,"count":10},"遠期記憶",[32,36,40,45,50,55],{"webId":33,"stem":34,"number":35,"year":9,"session":10},"nurse-111-1-medical-surgical-002","有關病人已出現顱內壓升高的護理處置，下列敘述何者錯誤？",2,{"webId":37,"stem":38,"number":39,"year":9,"session":35},"nurse-111-2-medical-surgical-018","有關骨性關節炎病人適合的運動類型，下列何者錯誤？",18,{"webId":41,"stem":42,"number":43,"year":44,"session":10},"nurse-112-1-medical-surgical-032","下列何者最適合接受機械性人工心瓣膜置換術？",32,112,{"webId":46,"stem":47,"number":48,"year":49,"session":10},"nurse-113-1-medical-surgical-020","有關下肢深部靜脈栓塞服用Warfarin病人之護理指導，下列何者正確？",20,113,{"webId":51,"stem":52,"number":53,"year":54,"session":35},"nurse-114-2-medical-surgical-024","下列何者不是放射線治療病人皮膚出現的急性反應？",24,114,{"webId":56,"stem":57,"number":39,"year":58,"session":10},"nurse-106-1-medical-surgical-018","有關退化性關節炎臨床表徵之敘述，下列何者錯誤？",106,"2026-09-04",1788510734198]