[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-113-1-psychiatric-community-007":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":32,"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":11},"nurse-113-1-精神科與社區衛生護理學-007","nurse-113-1-psychiatric-community-007",113,1,7,"有關日落症候群（sundown syndrome）較常見於何種疾患？",{"A":14,"B":15,"C":16,"D":17},"失智症","恐慌症","雙相情緒障礙症","譫妄患者","A",null,[],"本題考點在於日落症候群的好發族群。依老年精神醫學文獻,日落症候群指傍晚至夜間出現意識混亂、躁動、遊走等行為惡化,與生理時鐘(晝夜節律)退化、光線減少及感覺剝奪有關,最常見於失智症病人,故選 A。B 恐慌症的發作為突發性、可在任何時間出現,與晝夜節律無特定關聯;C 雙相情緒障礙症以情緒週期(躁期\u002F鬱期)為特徵,非以傍晚惡化為典型;D 譫妄雖也常在夜間惡化(夜間譫妄),但題目問「較常見於何種疾患」,教科書標準答案將日落症候群歸於失智症的行為精神症狀(BPSD)之一。","日落症候群機轉:失智症病人視叉上核(生理時鐘中樞)退化、褪黑激素分泌節律紊亂,加上傍晚光線變暗、環境線索減少,導致定向感更差而混亂加劇。照護重點考點:白天增加光照與活動、傍晚維持適度照明、規律作息、減少環境刺激變動。與譫妄的鑑別:譫妄為急性、意識程度波動、有潛在生理病因且可逆;失智為慢性進行性、意識通常清楚。此題若出現「意識混亂急性發作且波動」字眼才偏向譫妄。",[24,26,28,30],{"term":25,"count":11},"日落症候群",{"term":27,"count":10},"失智症行為精神症狀(BPSD)",{"term":29,"count":10},"晝夜節律",{"term":31,"count":10},"譫妄與失智的鑑別",[33,37,42,47,53,58],{"webId":34,"stem":35,"number":36,"year":9,"session":10},"nurse-113-1-psychiatric-community-008","葉同學剛滿18歲，診斷為雙相情緒障礙症（bipolar disorder），媽媽非常不解的詢問護理師為什麼會這樣。關於疾病的生物病因，下列何項回答最為適切？",8,{"webId":38,"stem":39,"number":40,"year":9,"session":41},"nurse-113-3-psychiatric-community-004","有關鋰鹽 Lithium（Lidin ® ）的敘述，下列何者最正確？",4,3,{"webId":43,"stem":44,"number":45,"year":46,"session":10},"nurse-114-1-psychiatric-community-048","林女士76歲獨居，有多重慢性病史，不慎跌倒導致下肢嚴重骨折，經住院治療後病情穩定出院回家休養。有關個案管理師的職責，下列何者最不適當？",48,114,{"webId":48,"stem":49,"number":50,"year":51,"session":52},"nurse-115-2-psychiatric-community-046","有關長期照顧十年計畫 2.0，對於家庭照顧者之服務，下列何者最不適當？",46,115,2,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-107-1-psychiatric-community-040","護理師執行暴力處置時須對病人採取隔離與約束措施，針對「拘束病人身體或限制其行動自由」，依精神衛生法施行細則第 6 條規定，應依醫囑為之，有關醫囑規定內容，應包含下列何項？①方式 ②理由 ③病人的意願 ④評估頻率 ⑤起訖時間",40,107,{"webId":59,"stem":60,"number":61,"year":62,"session":52},"nurse-108-2-psychiatric-community-074","根據 2025 衛生福利政策白皮書中，對於健全社會安全及綿密弱勢照顧體系方面的做法或成就之敘述，下列何者錯誤？",74,108,"2026-09-04",1788510751113]