[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-114-2-psychiatric-community-019":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-114-2-精神科與社區衛生護理學-019","nurse-114-2-psychiatric-community-019",114,2,19,"有關老年憂鬱症的敘述，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"老年憂鬱症通常會有明顯的憂鬱情緒表現","女性老年人較男性老年人發生憂鬱症的比例高","城市老年人較鄉村老年人發生憂鬱症的比例高","慢性病老年人較一般老年人發生憂鬱症比例高","A",null,[],"本題考點在於老年憂鬱症的非典型表現。老年憂鬱症常「不以明顯的憂鬱情緒表現」，而是以身體不適（頭痛、腸胃不適）、記憶減退（假性失智）、焦慮或無故抱怨等形式呈現，情緒症狀常被掩蓋而易被忽略。本題為反向題，錯誤敘述為 A：「通常會有明顯的憂鬱情緒表現」與臨床實況相反，故 A 錯而為答案。B 正確，女性老年人罹患憂鬱症比例高於男性；C 正確，城市老年人因社會支持較疏離、生活壓力等因素，比例較鄉村高；D 正確，慢性病帶來的失能與長期壓力使罹憂鬱比例上升。掌握「老年憂鬱多以非典型、身體化表現」即可作答。","臨床特徵：老年憂鬱易與失智混淆（假性失智，depression 造成認知抱怨但可逆），身體化抱怨多、自殺致死率高（尤其獨居男性）。與失智鑑別：假性失智者常主動抱怨記憶差、答『不知道』；真失智者常掩飾缺損。篩檢工具如 GDS（老年憂鬱量表）有助早期辨識。",[24,27,30,33],{"term":25,"count":26},"老年憂鬱症",6,{"term":28,"count":29},"假性失智",3,{"term":31,"count":32},"非典型\u002F身體化表現",1,{"term":34,"count":32},"老年憂鬱量表 GDS",[36,40,45,50,55,60],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-114-2-psychiatric-community-020","下列敘述何者為早期失智症的主要症狀表現？",20,{"webId":41,"stem":42,"number":43,"year":44,"session":32},"nurse-115-1-psychiatric-community-016","有關人格障礙症的敘述，下列何者最適切？",16,115,{"webId":46,"stem":47,"number":48,"year":49,"session":32},"nurse-106-1-psychiatric-community-010","慢性間質性膀胱炎，最常見於那一種物質使用障礙症病人身上？",10,106,{"webId":51,"stem":52,"number":53,"year":54,"session":32},"nurse-107-1-psychiatric-community-048","目前提供健保居家護理服務的機構型態，下列何種類型最多？",48,107,{"webId":56,"stem":57,"number":58,"year":59,"session":32},"nurse-109-1-psychiatric-community-012","有關行為治療的「逐步養成法（shaping）」之敘述，下列何者最適切？",12,109,{"webId":61,"stem":62,"number":63,"year":64,"session":32},"nurse-110-1-psychiatric-community-046","接種麻疹疫苗，是屬於下列何種傳染病防治原則？",46,110,"2026-09-04",1788510760562]