護理師照顧一位有跌倒風險的高齡個案。護理師應優先採取哪項健康促進措施？
A nurse is caring for an older adult client who is at risk for falls. Which intervention should the nurse implement as a priority for health promotion?
- AInstruct the client to use a cane for all movements指示病人在所有動作中使用拐杖
- BApply non-slip socks while the client is in bed病人在床上時穿著防滑襪
- CAssess the home environment for potential hazards✓ 正解評估居家環境中潛在的危险因素
- DAdminister vitamin D supplements daily每日給予維生素 D 補充劑
跌倒預防的首要行動為評估環境風險，因為大多數跌倒發生在住家內。去除障礙物（如地毯、凌亂電線）是最直接且有效的預防手段。A 需評估步態後由物理治療師建議，D 是長期保骨手段，B 僅是局部措施，環境評估是全盤考量。
The first action in fall prevention is to assess environmental hazards, because most falls occur in the home. Removing obstacles such as rugs and cluttered cords is the most direct and effective preventive measure. Option A requires gait assessment and a physical therapist's recommendation, option D is a long-term bone-health measure, and option B is only a local intervention; environmental assessment addresses the situation as a whole.
美國居家照護（Home Health）系統常指派治療師進行居家評估；台灣則多依賴家屬教育或長照 2.0 之居家無障礙環境改善評估。