— 基本照護與舒適 · MEDIUM · MCQ —
病人在住院期間發生失眠。護理師應優先採取哪項介入措施？
A client is experiencing insomnia in the hospital setting. Which intervention should the nurse implement first?
- AAdminister the prescribed PRN sedative給予處方上的 PRN 鎮靜劑
- BCluster nursing care to minimize interruptions✓ 正解集中護理活動以最小化干擾
- CTurn on the television to provide white noise開啟電視提供白噪音
- DProvide a warm milk drink before bedtime睡前提供一杯溫牛奶
— Explanation · 中文詳解 —
住院期間失眠多源於持續的干擾（如檢查、監測）。合併護理（Cluster nursing care）能減少深夜進入病室的頻率，讓病人有更長、連續的休息時間。藥物（A）屬最後手段，溫暖食物（D）屬輔助，開電視（C）反而會造成光源干擾。
Insomnia during hospitalization is often caused by ongoing interruptions (such as examinations and monitoring). Clustering nursing care reduces the frequency of nighttime entries into the room and allows the client longer, uninterrupted rest. Medication (A) is a last resort, warm liquids (D) are an adjunct, and turning on the television (C) introduces light interference.
✦ 台美臨床差異
台灣病房夜間工作量大，集中護理有時受限於病情評估需求，需與值班團隊協調。