— 照護管理 · HARD · MCQ —
護理師為一位新診斷第一型糖尿病的病人規劃護理，哪項措施是優先重點？
A nurse is planning care for a client with a new diagnosis of type 1 diabetes. Which action is the priority for the nurse?
- AEnsure the client can identify signs of hypoglycemia確保病人能辨識低血糖的徵兆
- BArrange for a consultation with a diabetes educator安排與糖尿病衛教師會診
- CAssess the client's readiness to learn about insulin administration✓ 正解評估病人對學習胰島素給藥的準備度
- DTeach the client how to perform self-monitoring of blood glucose教導病人如何進行血糖自我監測
— Explanation · 中文詳解 —
在教育計畫開始前，護理師必須先評估學習者的動機、認知能力與心理準備度。唯有在病人準備好學習的情況下，教育內容（如測血糖、辨識低血糖、施打胰島素）才具備實質意義。直接進行教學而忽略準備度評估，將導致教育成效不佳。
Before initiating an education plan, the nurse must first assess the learner's motivation, cognitive ability, and psychological readiness. Only when the patient is ready to learn will educational content (such as glucose monitoring, recognition of hypoglycemia, or insulin administration) be truly meaningful. Beginning teaching without assessing readiness will result in poor educational outcomes.
✦ 台美臨床差異
在美國，教育責任多由護理師主導，台灣亦同，但護理師常因忙碌而忽略結構化的學習 readiness 評估。