[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-114-1-psychiatric-community-020":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":35,"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-114-1-精神科與社區衛生護理學-020","nurse-114-1-psychiatric-community-020",114,1,20,"有關老年憂鬱症的敘述，下列何者最不適切？",{"A":14,"B":15,"C":16,"D":17},"以身體症狀反應情緒","常談論自殺想法","記憶力變差","合併日落症候群","D",null,[],"本題考點在於老年憂鬱症的臨床特徵及其與失智症的鑑別。依老年精神醫學，老年憂鬱常以身體症狀表達情緒（軀體化）、頻談自殺想法，並可因假性失智而出現記憶力變差。本題為反向題，錯誤敘述為 D「合併日落症候群」——日落症候群（傍晚時分躁動混亂加劇）是失智症、譫妄的典型表現，並非老年憂鬱症的特徵，故選 D。A 正確，老年人常以身體不適呈現憂鬱。B 正確，老年憂鬱自殺風險高，常談論死亡。C 正確，憂鬱可致注意力與記憶下降（假性失智）。四者中唯 D 屬失智相關表現，最不適切，故正解為 D。","假性失智（pseudodementia）是老年憂鬱重要陷阱：認知退步隨情緒改善可回復，個案多主訴且答「不知道」；真失智則刻意掩飾、進行性惡化。日落症候群屬失智／譫妄，鑑別老年憂鬱與失智是國考與臨床反覆考點。",[24,27,30,33],{"term":25,"count":26},"日落症候群",7,{"term":28,"count":29},"老年憂鬱症",6,{"term":31,"count":32},"假性失智",3,{"term":34,"count":10},"軀體化",[36,40,44,50,55,60],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-114-1-psychiatric-community-021","有關社區精神衛生護理評估的敘述，下列何者正確？",21,{"webId":41,"stem":42,"number":43,"year":9,"session":32},"nurse-114-3-psychiatric-community-017","有關自殺的概念，下列敘述何者最不適當？",17,{"webId":45,"stem":46,"number":47,"year":48,"session":49},"nurse-115-2-psychiatric-community-011","張先生是一位思覺失調症病人，住院期間常摀著耳朵自言自語說：「有人一直在罵我，叫我去死！」護理師發現他因此情緒顯得很焦慮。下列護理師的處置，何者最適當？",11,115,2,{"webId":51,"stem":52,"number":53,"year":54,"session":49},"nurse-106-2-psychiatric-community-079","邀請名人或藝人擔任代言人，促進民眾篩檢意願，此種策略根據健康信念模式是屬於何因素？",79,106,{"webId":56,"stem":57,"number":58,"year":59,"session":49},"nurse-108-2-psychiatric-community-043","A、B 兩國之年齡標準化死亡率（standardized death rate）相同，但 A 國之粗死亡率（crude death rate）卻大於 B 國，下列原因何者最有可能？",43,108,{"webId":61,"stem":62,"number":63,"year":64,"session":49},"nurse-109-2-psychiatric-community-077","有關慢性病的特性，下列何者錯誤？",77,109,"2026-09-04",1788510758252]