— 基本照護與舒適 · EASY · MCQ —
護理師協助一位早期阿茲海默症病人進行晨間衛生護理。下列哪項行動最能促進病人的獨立性？
A nurse is assisting a client with early-stage Alzheimer's disease to perform morning hygiene. Which action best promotes the client's independence?
- APerform the entire hygiene routine for the client為病人執行完整的衛生活動
- BComplete the most difficult parts of the bath完成洗澡中最困難的部分
- CDelegate the hygiene care to an assistive personnel將衛生活動委託給護理輔佐人員
- DProvide step-by-step verbal cues for each task✓ 正解針對每個任務提供逐步的口頭提示
— Explanation · 中文詳解 —
針對早期失智症病人，護理照護的核心目標為「維持功能」而非「取代功能」。透過簡短、分步驟的口頭引導，能有效降低病人的挫折感並延長其自我照顧能力。直接代勞會造成功能快速退化，適度引導才是維持生活品質的關鍵。
For clients with early-stage dementia, the core goal of nursing care is to "maintain function" rather than to "replace function." Short, step-by-step verbal guidance effectively reduces frustration and prolongs the client's ability to perform self-care. Performing tasks for the client causes rapid functional decline; appropriate guidance is the key to maintaining quality of life.
✦ 台美臨床差異
美國護理重視照護過程中的復能（Restorative care）；台灣臨床因人力比高，常以效率優先直接協助病人完成。