— 照護管理 · EASY · MCQ —
護理長正在評估新進護理師的表現。新進護理師在交班過程中，哪項行動顯示其能有效運用護理程序？
A nurse manager is evaluating the performance of a new nurse. Which action by the new nurse indicates effective use of the nursing process during patient handoff?
- APrioritizing patient assessments and current physiological status✓ 正解優先報告病人評估結果與目前生理狀況
- BSharing personal opinions about the patient's family dynamics分享對病人家庭動態的個人意見
- CSummarizing the patient's billing insurance details總結病人的保險帳務細節
- DFocusing exclusively on the physician's progress notes專注於醫師的病程記錄
— Explanation · 中文詳解 —
護理交班應優先聚焦於病人的生理狀態、護理需求、臨床變化及即將進行的處置。評估（Assessment）是護理程序的第一步，確保後續護理決策基於正確臨床數據。D 選項忽略護理觀點；B 選項違反專業界線與隱私；C 選項非護理重點。
Nursing handoff should focus first on the client's physiologic status, nursing needs, clinical changes, and upcoming interventions. Assessment is the first step of the nursing process and ensures that subsequent care decisions are based on accurate clinical data. Option D overlooks the nursing perspective; option B violates professional boundaries and privacy; and option C is not a nursing priority.
✦ 台美臨床差異
美台護理交班均強調 ISBAR 結構，但美國更注重護理師自主評估，台灣則偏向執行醫囑進度。