[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-112-2-psychiatric-community-032":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":35,"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-112-2-精神科與社區衛生護理學-032","nurse-112-2-psychiatric-community-032",112,2,32,"關於譫妄及失智症，下列敘述何者最適切？",{"A":14,"B":15,"C":16,"D":17},"譫妄病人症狀通常為漸進性發作","譫妄病人通常腦波正常，出現腦回萎縮、腦室擴大","失智症病人的意識狀態，經常日夜波動變化大","失智症初期會有立即性及短期記憶力障礙","D",null,[],"本題考點是譫妄與失智症的鑑別，最適切者為 D。失智症（尤其阿茲海默型）初期即出現立即性記憶與短期記憶障礙，遠期記憶相對保留，故 D 正確為正解。A 錯，譫妄為急性、突發性發作，漸進性發作反而是失智症的特徵。B 錯，腦回萎縮、腦室擴大是失智症（退化性）的結構變化；譫妄多為功能性、可逆，腦部結構通常無此變化。C 錯，意識狀態日夜波動、變化大是譫妄的核心特徵，失智症的意識則多維持清醒穩定。考點在於辨識「譫妄＝急性、意識波動、可逆；失智＝慢性、意識清楚、記憶漸退」的對比。","譫妄與失智最關鍵的鑑別在「發作速度」與「意識」：譫妄數小時到數天內急性發生、注意力與意識明顯波動、多可逆並常有誘因（感染、電解質、藥物）；失智為數月至數年慢性進展、意識清楚、記憶與認知漸進退化且不可逆。記憶對比表：譫妄＝Acute＋波動＋可逆；失智＝Chronic＋清醒＋漸退。臨床上老年病人可同時存在（譫妄疊加於失智），須警覺。可延伸連結 CAM 譫妄評估與 MMSE 認知篩檢。",[24,27,30,33],{"term":25,"count":26},"譫妄",6,{"term":28,"count":29},"失智症",3,{"term":31,"count":32},"意識狀態波動",1,{"term":34,"count":32},"短期記憶障礙",[36,40,44,49,54,59],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-112-2-psychiatric-community-033","有關老年憂鬱症的敘述，下列何者最不適切？",33,{"webId":41,"stem":42,"number":43,"year":9,"session":29},"nurse-112-3-psychiatric-community-049","張先生近來被子女發現會忘記一些日常事情，醫師診斷為輕型認知障礙症（Mild Neurocognitive Disorder），家人不放心他白天一人在家，共照個管師與個案和家人商議後，轉介他至其居住所在的巷弄據點，於是張先生每週有三個早上會自己騎車至據點活動與吃午餐。這樣的措施是屬於：",49,{"webId":45,"stem":46,"number":47,"year":48,"session":10},"nurse-113-2-psychiatric-community-043","有關兒童事故傷害的敘述，下列何者最不適當？",43,113,{"webId":50,"stem":51,"number":52,"year":53,"session":29},"nurse-114-3-psychiatric-community-041","關於促進原鄉健康平等的措施，下列敘述何者最不適當？",41,114,{"webId":55,"stem":56,"number":57,"year":58,"session":10},"nurse-106-2-psychiatric-community-015","王先生診斷雙相情緒障礙症，30 歲。王先生住院後，不斷的投書給醫院的院長，對病房設施提出多項建議，護理師的處置下列何者最適宜？",15,106,{"webId":60,"stem":61,"number":43,"year":62,"session":10},"nurse-107-2-psychiatric-community-049","5 個月大的小旬，應完成下列何種疫苗接種？",107,"2026-09-04",1788510748931]