護理師照護一位有跌倒病史的病人，應採取哪項行動以增進病人安全？
A nurse is caring for a client who has a history of falls. Which action should the nurse take to promote client safety?
- AKeep the bed in the highest position將病床調整至最高位置
- BProvide a dimly lit room to promote rest提供昏暗的房間以促進休息
- CPlace the call light within reach✓ 正解將呼叫器放置在病人觸手可及之處
- DKeep all four side rails up at all times隨時將四個床欄全部拉起
跌倒預防的核心在於讓病人能隨時呼叫協助。C 項呼叫鈴在手邊能減少病人自行下床的衝動。A 項床位太高危險；B 項環境昏暗會增加絆倒機率；D 項四欄全上若無醫療需求有禁錮之嫌，且病人若翻越反而會導致更嚴重之跌倒傷害。
The core of fall prevention is enabling the client to summon help at any time. Option C - keeping the call light within reach - reduces the impulse to get out of bed alone. Option A is dangerous because the bed is too high; option B reduces visibility and increases the chance of tripping; option D, raising all four side rails without medical justification, may be considered restraint, and if the client climbs over the rails the resulting fall may be more severe.
美國護理機構極重視跌倒防護的各項評估工具（如 Morse Fall Scale），台灣則較著重警示標示（如跌倒紅色貼紙）。