[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-112-3-psychiatric-community-020":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-112-3-精神科與社區衛生護理學-020","nurse-112-3-psychiatric-community-020",112,3,20,"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？",{"A":14,"B":15,"C":16,"D":17},"懷疑配偶不忠，嫉妒妄想","近期記憶力喪失","覺得一直聽到聲音，像是有人在命令他","流鼻水、發燒、流淚、打呵欠","B",null,[],"本題考點在於柯沙寇夫症候群(Korsakoff's syndrome)的典型症狀。依其病生理,柯沙寇夫症候群源於慢性酒精成癮導致維他命 B1(硫胺素)嚴重缺乏,主要傷及與記憶相關的腦區,典型表現為「近期記憶力喪失」與虛談(confabulation,以虛構內容填補記憶空缺),故選 B。A「懷疑配偶不忠、嫉妒妄想」屬酒精性嫉妒妄想,非本症候群核心。C「聽到命令的聲音」是命令式聽幻覺,常見於思覺失調,非柯沙寇夫。D「流鼻水、發燒、流淚、打呵欠」是鴉片類(如海洛因)戒斷症狀,與酒精性失憶無關。考點在於連結硫胺素缺乏與記憶障礙。","Wernicke-Korsakoff 症候群為一連續病程:Wernicke 腦病變急性期三主徵為意識混亂、眼球運動障礙(眼肌麻痺)、步態失調(ataxia);若未及時補充 B1,可進展為慢性、不可逆的 Korsakoff 精神病,以順向失憶、逆向失憶與虛談為特徵。記憶重點:酒癮+記憶喪失+虛談=Korsakoff,治療核心是及早補充硫胺素。",[24,27,29,32,34],{"term":25,"count":26},"近期記憶喪失",2,{"term":28,"count":26},"虛談",{"term":30,"count":31},"柯沙寇夫症候群",1,{"term":33,"count":31},"維他命 B1 缺乏",{"term":35,"count":31},"Wernicke-Korsakoff",[37,41,46,51,56,60],{"webId":38,"stem":39,"number":40,"year":9,"session":10},"nurse-112-3-psychiatric-community-021","邵女士，67 歲，因車禍接受手術，在加護病房第二天出現混亂、慌張、不安、定向障礙之症狀，小夜班時不斷拉鈴要求出去，大夜班時跟護理師反映牆壁上有許多蟑螂。針對此譫妄（delirium）狀態，下列何項護理措施最適宜？",21,{"webId":42,"stem":43,"number":44,"year":45,"session":26},"nurse-113-2-psychiatric-community-017","林小姐，為重大火車出軌事件的倖存者，診斷為創傷後壓力症（posttraumatic stress disorder），下列敘述何者最不適切？",17,113,{"webId":47,"stem":48,"number":49,"year":50,"session":31},"nurse-114-1-psychiatric-community-011","​宋 小姐因情緒低落且有自殺行為，入院治療已兩週，常一個人臥床獨處，少與其他病友互動。下列何項護理措施最適宜？",11,114,{"webId":52,"stem":53,"number":54,"year":55,"session":26},"nurse-115-2-psychiatric-community-009","有關思覺失調症之敘述，何者錯誤？",9,115,{"webId":57,"stem":58,"number":10,"year":59,"session":31},"nurse-107-1-psychiatric-community-003","一位診斷為嚴重憂鬱症的女性，結婚生完孩子後便沒有外出工作，成為全職媽媽，平日全心投入照顧家庭，較少有其他社交活動。面對叛逆與不愛唸書的青少年孩子，常過度苛責是自己的錯，一切都是她沒做好母親的角色，此種心理防衛機轉，較可能是使用下列何者？",107,{"webId":61,"stem":62,"number":63,"year":64,"session":26},"nurse-108-2-psychiatric-community-037","有關個人因應與壓力的理論，下列敘述何者正確？①下視丘－腦下垂體－腎上腺軸（HPA）的改變是個人面臨壓力源時主要的調節系統 ②壓力與中樞神經系統前額葉及邊緣系統的改變有關 ③壓力反應與個體之腦幹－運動及感覺皮質區有關 ④災難經驗對個人造成立即心理改變，但不影響個體知覺與性格特性",37,108,"2026-09-04",1788510745869]