一位高跌倒風險的病人不斷嘗試下床，護理師已嘗試過轉移注意力與降低床位，下一步最合適的措施為何？
A nurse is caring for a client with a history of falls who keeps trying to get out of bed. The nurse has already tried distraction and placing the bed in the lowest position. What is the next most appropriate action?
- AAdminister an as-needed sedative to keep the client quiet給予按需使用的鎮靜劑以使病人安靜
- BSit the client in a chair near the nurse's station for observation✓ 正解讓病人坐在護理站附近的椅子上以便觀察
- CAsk a family member to stay with the client constantly要求家屬持續陪伴病人
- DApply physical restraints to prevent falls實施身體約束以防止跌倒
面對持續想下床的病人，應先考慮調整照護配置。將病人安置在離護理站近的地方進行觀察（Observation），能讓護理師更即時地介入與安撫，且這是非侵入性的安全策略。約束（D）與藥物（A）屬於干預限制，需在評估安全性危急時才能考慮，而家屬（C）並非總是可以即時提供協助，不可作為常規護理策略。
For a client who continues attempting to get out of bed, the care arrangement should first be adjusted. Relocating the client to an area near the nurses' station for observation enables the nurse to intervene and reassure more promptly, and this is a non-invasive safety strategy. Restraints (D) and medications (A) are restrictive interventions and should be considered only when safety is critically threatened. Family members (C) cannot always be available to provide immediate assistance and should not be used as a routine nursing strategy.
美國對於「減少病人頻繁下床」有嚴格的非約束性介入要求；台灣臨床則常見直接使用約束床欄以防跌倒。