[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-111-1-psychiatric-community-026":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":36,"lastmod":65},"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-026","nurse-111-1-psychiatric-community-026",111,1,26,"有關評估假性失智症（pseudodementia）與失智症之臨床差異，下列何者正確？①假性失智症多半有比較清楚的發病時間 ②假性失智症常抱怨認知障礙 ③失智症行為與認知障礙的嚴重度吻合 ④失智症對問話老是回答「不知道」、「忘記了」",{"A":14,"B":15,"C":16,"D":17},"①③④","②③④","①②④","①②③","D",null,[],"本題考點在假性失智症（多為老年憂鬱造成）與失智症的鑑別。依臨床鑑別診斷：①假性失智症起病較急、有明確發病時間點（憂鬱起始），正確；②假性失智者因憂鬱常主動誇大、抱怨自己記憶或認知變差，正確；③真性失智症的行為表現與認知障礙嚴重度相符（吻合），正確；④則描述反了——「老是回答不知道、忘記了」是假性失智（憂鬱）者的典型應答，真性失智者反而傾向掩飾或虛談。故正確組合為①②③，選 D。考點在於辨識兩者在病程、病識感與應答型態的差異。A、B、C 皆含錯誤的④，故排除。","假性失智症本質是老年憂鬱症的認知表現，抗憂鬱治療後認知可回復，屬可逆；真性失智（如阿茲海默症）為神經退化、進行性且不可逆。鑑別要點口訣「憂鬱抱怨多、失智掩飾多」：憂鬱者病識感強、主訴重於客觀表現、答『不知道』；失智者病識感差、客觀退化重於主訴、傾向虛談（confabulation）掩飾。發病時序上假性失智可追溯明確起點，失智則隱匿漸進。臨床以 MMSE 合併憂鬱量表（如 GDS）協助區分。",[24,27,30,32,34],{"term":25,"count":26},"病識感",11,{"term":28,"count":29},"老年憂鬱症",6,{"term":31,"count":10},"假性失智症",{"term":33,"count":10},"失智症鑑別診斷",{"term":35,"count":10},"可逆性",[37,41,46,51,56,61],{"webId":38,"stem":39,"number":40,"year":9,"session":10},"nurse-111-1-psychiatric-community-027","有關海洛因中毒症狀的敘述，下列何者錯誤？",27,{"webId":42,"stem":43,"number":44,"year":9,"session":45},"nurse-111-2-psychiatric-community-043","有關長期照顧十年計畫 2.0，A、B、C 級服務單位的敘述，下列何者最不適當？",43,2,{"webId":47,"stem":48,"number":49,"year":50,"session":10},"nurse-112-1-psychiatric-community-057","根據性別工作平等法和勞動基準法，有關職場母乳哺餵之護理指導，下列何者最不適宜？",57,112,{"webId":52,"stem":53,"number":54,"year":55,"session":10},"nurse-113-1-psychiatric-community-045","在紅外線工作環境中最易引起的健康危害，下列何者正確？",45,113,{"webId":57,"stem":58,"number":59,"year":60,"session":45},"nurse-114-2-psychiatric-community-049","有關中老年族群健康生活型態的護理指導，下列何者最適當？",49,114,{"webId":62,"stem":63,"number":44,"year":64,"session":10},"nurse-106-1-psychiatric-community-043","社區衛生護理師為培養個案獨立做決定的能力，但在社區民眾面臨健康問題而無法獨立下判斷時，可擔任的角色為：",106,"2026-09-04",1788510736393]