[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-114-2-psychiatric-community-020":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"lastmod":64},"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-020","nurse-114-2-psychiatric-community-020",114,2,20,"下列敘述何者為早期失智症的主要症狀表現？",{"A":14,"B":15,"C":16,"D":17},"臥床無法行動","日常生活無法自理","認字不能或失語症","出現日落症候群","D",null,[],"本題考點在於失智症病程各階段的症狀分期。此題須從選項中挑出「相對早期」即可出現的主要症狀表現，答案為 D「日落症候群」：黃昏時分出現混亂、躁動、焦慮的日落現象，在失智早中期即可能出現，相較其他選項屬較早期表現，故選 D。A 臥床無法行動屬失智「末期」；B 日常生活完全無法自理屬中晚期；C 認字不能或失語症（agnosia\u002Faphasia）通常出現於中期以後認知全面退化階段。四選項中僅日落症候群為病程中最早出現者，故為答案。此題著重「依症狀嚴重度推斷病程先後」。","失智分期概念：早期以近期記憶減退、時間定向障礙、情緒與行為改變（含日落症候群、易怒）為主；中期出現失語、失用、失認及日常自理困難；末期則臥床、失禁、完全依賴。日落症候群（sundowning）與生理時鐘、環境刺激減少、視覺線索不足有關，宜以增加日間活動、傍晚照明、規律作息因應。",[24,27,30,32],{"term":25,"count":26},"日落症候群",7,{"term":28,"count":29},"失智症分期",1,{"term":31,"count":29},"早期認知\u002F行為改變",{"term":33,"count":29},"失語失認為中晚期",[35,39,44,49,54,59],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-114-2-psychiatric-community-021","有關協助精神病人復元的概念敘述，下列何者錯誤？",21,{"webId":40,"stem":41,"number":42,"year":43,"session":29},"nurse-115-1-psychiatric-community-017","林先生經歷暴雨過後家園遭遇土石流，目睹父親死亡，倖存後被診斷為創傷後壓力症（posttraumatic stress disorder），每當下起大雨或看到土石流的新聞，林先生最不可能出現下列何種反應？",17,115,{"webId":45,"stem":46,"number":47,"year":48,"session":29},"nurse-106-1-psychiatric-community-011","用鋰鹽的病人，若服用以下那類藥物會引起鋰鹽在血液的濃度增加之危險，下列何項正確？①血清素及甲基腎上腺回收抑制劑（serotonin and norepinephrine reuptake inhibitor, SNRI，如 venlafaxine） ②血管收縮素轉換酵素抑制劑（angiotension-coverting enzyme inhibitor, ACE-inhibitor，如抗高血壓藥，captopril） ③非類固醇抗發炎劑（non-steroid anti-inflammatory drug, NSAID，如 ibuprofen） ④利尿劑（如 thiazide）",11,106,{"webId":50,"stem":51,"number":52,"year":53,"session":29},"nurse-107-1-psychiatric-community-049","規律且正確的運動對糖尿病個案的益處，下列何者錯誤？",49,107,{"webId":55,"stem":56,"number":57,"year":58,"session":29},"nurse-109-1-psychiatric-community-013","有關鋰鹽 Lithium（Lidin®），下列何項敘述最適切？",13,109,{"webId":60,"stem":61,"number":62,"year":63,"session":29},"nurse-110-1-psychiatric-community-047","有關愛滋病的三段五級防治原則，下列敘述何者錯誤？",47,110,"2026-09-04",1788510760566]