[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-111-1-psychiatric-community-005":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":36,"lastmod":63},"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-111-1-精神科與社區衛生護理學-005","nurse-111-1-psychiatric-community-005",111,1,5,"有關譫妄（delirium）的敘述，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"觸幻覺是最常見的知覺障礙","任何年齡皆有可能發生","會出現認知困擾","電解質不平衡與譫妄發生有關","A",null,[],"本題考點為譫妄（delirium）的臨床特徵辨識，題目要選「錯誤」者。譫妄是急性、波動性的意識與注意力障礙，知覺障礙以「視幻覺」最為常見，而非觸幻覺，故 A 敘述觸幻覺最常見為錯誤，選 A。B 正確，譫妄任何年齡皆可能發生，惟老年人與重症者風險最高。C 正確，譫妄會伴隨認知功能困擾如定向感與記憶受損。D 正確，電解質不平衡（如低血鈉、脫水）是誘發譫妄的常見可逆病因之一。","譫妄的核心是急性起病、病程波動、注意力渙散並伴隨意識混濁，病因多為可逆的生理紊亂：感染、電解質與代謝異常、藥物、缺氧、疼痛等（可用 DELIRIUM 或 I WATCH DEATH 助憶）。知覺障礙以視幻覺為主，常見錯覺與被害性妄想。與失智症的鑑別要點在於起病快慢與注意力：譫妄為急性、注意力顯著受損、可逆；失智為隱襲、記憶為主、慢性進展。可連結 CAM（Confusion Assessment Method）評估工具與去除誘因的處置原則。記憶重點：譫妄找病因、視幻覺為主。",[24,27,29,32,34],{"term":25,"count":26},"譫妄",6,{"term":28,"count":11},"視幻覺",{"term":30,"count":31},"急性意識障礙",2,{"term":33,"count":10},"電解質不平衡",{"term":35,"count":10},"與失智鑑別",[37,40,44,49,54,59],{"webId":38,"stem":39,"number":26,"year":9,"session":10},"nurse-111-1-psychiatric-community-006","陳護理師因為先生喝酒問題常常引起夫妻之間的衝突，陳護理師想到今天要接的新病人，診斷為酒精使用障礙症（alcohol use disorder），陳護理師就感到焦慮、生氣，這是下列何種現象？",{"webId":41,"stem":42,"number":43,"year":9,"session":31},"nurse-111-2-psychiatric-community-022","有關創傷後壓力症（posttraumatic stress disorder）的敘述，下列何者錯誤？",22,{"webId":45,"stem":46,"number":47,"year":48,"session":10},"nurse-112-1-psychiatric-community-036","在急診室有關藥物使用障礙症（藥物成癮）最常見的問題，下列敘述何者錯誤？",36,112,{"webId":50,"stem":51,"number":52,"year":53,"session":10},"nurse-113-1-psychiatric-community-024","有關精神護理之家的服務對象其收置條件，可包含下列何者？①精神症狀穩定且慢性化者 ②不需急性住院治療但需生活照顧者 ③需急性住院治療之年邁者、失智者 ④無家可歸的慢性精神病人",24,113,{"webId":55,"stem":56,"number":57,"year":58,"session":31},"nurse-114-2-psychiatric-community-028","下列何種法定傳染病一旦發生需在 24 小時內通報？①狂犬病 ②猴痘 ③人類免疫缺乏病毒感染 ④多重抗藥性結核病",28,114,{"webId":60,"stem":61,"number":43,"year":62,"session":10},"nurse-106-1-psychiatric-community-022","針對林女士的護理措施，下列何者為最優先考量？",106,"2026-09-04",1788510736163]