— 基本照護與舒適 · MEDIUM · MCQ —
一位住院病人因焦慮導致失眠，哪項護理措施最能促進睡眠？
A client is experiencing insomnia due to anxiety in the hospital environment. Which nursing action best promotes sleep?
- ACluster nursing care tasks to minimize interruptions✓ 正解集中護理任務以減少干擾
- BProvide a sedative medication提供鎮靜藥物
- CKeep the room lights dimmed during the day白天保持房間燈光調暗
- DSuggest the client take a nap during the afternoon建議病人在下午小睡片刻
— Explanation · 中文詳解 —
住院病人的睡眠中斷主要來自於護理活動的頻繁干擾。將照護任務集中安排（Cluster care）能有效延長病人的休息週期，減少夜間覺醒次數，是促進病人睡眠品質的非藥物介入首選。藥物通常是最後的手段，應先從改善環境做起。
Sleep disruption in hospitalized clients is largely caused by frequent nursing interruptions. Clustering care effectively extends the client's rest periods and reduces nighttime awakenings, making it the preferred non-pharmacologic intervention to promote sleep quality. Medications should be a last resort; environmental modifications should be implemented first.
✦ 台美臨床差異
美國護理常規極力推崇減少護理中斷以提升病患滿意度，台灣受限於人力比，集中照護執行難度較高。