[{"data":1,"prerenderedAt":47},["ShallowReactive",2],{"q-nurse-112-2-psychiatric-community-032":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":23},"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,"freq":22},"nurse-112-2-精神科與社區衛生護理學-032","nurse-112-2-psychiatric-community-032",112,2,32,"關於譫妄及失智症，下列敘述何者最適切？",{"A":14,"B":15,"C":16,"D":17},"譫妄病人症狀通常為漸進性發作","譫妄病人通常腦波正常，出現腦回萎縮、腦室擴大","失智症病人的意識狀態，經常日夜波動變化大","失智症初期會有立即性及短期記憶力障礙","D",null,[],"本題考點是譫妄與失智症的鑑別，最適切者為 D。失智症（尤其阿茲海默型）初期即出現立即性記憶與短期記憶障礙，遠期記憶相對保留，故 D 正確為正解。A 錯，譫妄為急性、突發性發作，漸進性發作反而是失智症的特徵。B 錯，腦回萎縮、腦室擴大是失智症（退化性）的結構變化；譫妄多為功能性、可逆，腦部結構通常無此變化。C 錯，意識狀態日夜波動、變化大是譫妄的核心特徵，失智症的意識則多維持清醒穩定。考點在於辨識「譫妄＝急性、意識波動、可逆；失智＝慢性、意識清楚、記憶漸退」的對比。",1,[24,28,31,35,39,43],{"webId":25,"stem":26,"number":22,"year":27,"session":22},"nurse-106-1-psychiatric-community-001","精神衛生法中規定經專科醫師診斷或鑑定屬嚴重病人者，應置保護人 1 人，專科醫師並應開具診斷證明書交付保護人。保護人應考量嚴重病人利益。條文中的保護人可為下列何人？①監護人 ②同居人 ③配偶 ④父母 ⑤家屬 ⑥心理輔導專家 ⑦法定代理人",106,{"webId":29,"stem":30,"number":10,"year":27,"session":22},"nurse-106-1-psychiatric-community-002","護理師在精神科病房帶領團體治療，病友在團體中感謝其他病人對他的接納與信任，分享他從團體中體驗到人與人之間是可以相互信賴，此活動運用下列何項精神護理概念模式？",{"webId":32,"stem":33,"number":34,"year":27,"session":22},"nurse-106-1-psychiatric-community-003","一位從小被父親性侵至大學的 20 歲女大學生，因出現自傷行為而住院。主護護理師與之會談，談及家庭時，認為爸爸是愛她的，承認父親性侵她卻完全記不起來任何一次性侵的過程。但有時突然大哭時卻能詳細說出父親性侵她的過程。此種心理防衛機轉最有可能是下列何項？",3,{"webId":36,"stem":37,"number":38,"year":27,"session":22},"nurse-106-1-psychiatric-community-004","下列有關精神障礙病人的權利，何者正確？",4,{"webId":40,"stem":41,"number":42,"year":27,"session":22},"nurse-106-1-psychiatric-community-005","謝先生因思覺失調症（schizophrenia）住院，在許護理師上班時經常對她出現吵鬧、依賴或討好等行為，許護理師了解這是謝先生對自己的情感轉移，進而提供適當的護理措施，下列何者最不適宜？",5,{"webId":44,"stem":45,"number":46,"year":27,"session":22},"nurse-106-1-psychiatric-community-006","臨床上發現病人有問題行為而需進行行為治療時，護理師在評估病人的問題行為時，應主要觀察的內容，下列何項正確？①在何種情況下（行為前情境）②病人出現何種行為 ③家人的感受 ④行為之後產生什麼結果",6,1783840788039]