[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-115-2-psychiatric-community-005":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"lastmod":62},"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":25},"nurse-115-2-精神科與社區衛生護理學-005","nurse-115-2-psychiatric-community-005",115,2,5,"張先生，78 歲，因迷路警察通知家人領回，張先生大聲表示：「我只是想拜訪老王，一時想不起他住那裡，所以才在附近逛逛。」家人感錯愕，因為 1 個月前才陪爸爸參加王先生的葬禮。下列何項最可能是張先生的診斷？",{"A":14,"B":15,"C":16,"D":17},"焦慮症","妄想症","憂鬱症","失智症","D",null,[],"本題考點為失智症的臨床表徵辨識。個案78歲,外出迷路需警察協尋,且完全遺忘一個月前才親自參加摯友葬禮的重大事件,顯示近期記憶明顯缺損合併定向感障礙,並以「想拜訪老王」的合理化說法掩飾記憶缺失,符合失智症以認知功能全面退化為核心的表現,故D正確。A錯在焦慮症以過度擔憂與自律神經症狀為主,不會造成此種記憶缺損。B錯在妄想症的核心是無法動搖的錯誤信念,個案的陳述源於遺忘而非固定妄想。C錯在憂鬱症雖可出現假性失智,但個案並無情緒低落、興趣喪失等憂鬱核心症狀。","本題個案「以聽來合理的內容填補記憶空洞」的表現,即所謂虛談(confabulation),常見於失智症與Korsakoff症候群,個案並非說謊,而是對自己的記憶缺損缺乏病識感。失智症與譫妄、憂鬱假性失智的三角鑑別是國考常客:失智為慢性漸進、意識清楚、記憶以近期先受損;譫妄為急性起伏、意識混亂、注意力障礙為核心;假性失智者常主動抱怨記憶差、答題多回「不知道」,而真失智者傾向掩飾與虛談,本題「編理由逛逛」正是典型線索。",[24,26,28,31],{"term":17,"count":25},3,{"term":27,"count":10},"虛談",{"term":29,"count":30},"近期記憶缺損",1,{"term":32,"count":30},"定向感障礙",[34,38,43,47,52,57],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-115-2-psychiatric-community-006","電氣痙攣療法（electroconvulsive therapy, ECT）的臨床適應症，下列選項何者較適當？①人格障礙症 ②對藥物治療無效的躁症 ③嚴重憂鬱症且自殺意念強烈 ④思覺失調症合併僵直症",6,{"webId":39,"stem":40,"number":41,"year":42,"session":30},"nurse-106-1-psychiatric-community-052","關於 Hancock 及 Duhl 所提出健康城市的十一項品質，下列何者錯誤？",52,106,{"webId":44,"stem":45,"number":46,"year":42,"session":10},"nurse-106-2-psychiatric-community-066","排定社區衛生護理問題的優先順序時，下列何者應優先處理？",66,{"webId":48,"stem":49,"number":50,"year":51,"session":10},"nurse-108-2-psychiatric-community-024","呂小姐，42 歲，入院 4 週，預計下週出院，今天與護理師會談時提到自己的幻聽已改善很多，雖然仍會聽到一些聲音，不過內容已沒以前清楚，下列護理措施何者最適切？",24,108,{"webId":53,"stem":54,"number":55,"year":56,"session":10},"nurse-109-2-psychiatric-community-068","某糖尿病學童在校發生手抖及冒冷汗現象，學校護理師測量其血糖為 55 mg\u002FdL，下列何者護理處置最適當？",68,109,{"webId":58,"stem":59,"number":60,"year":61,"session":30},"nurse-111-1-psychiatric-community-022","根據 DSM-5 診斷準則，有關反社會人格（Antisocial Personality Disorder）的敘述，下列何者最不適當？",22,111,"2026-08-06",1787299016822]