— 照護管理 · EASY · MCQ —
護理師照顧一位有跌倒病史的病人，下列哪項行動最能體現護理師對安全管理的優先考慮？
A nurse is managing a client with a history of falls. Which action best reflects the nurse's priority in safety management?
- APlacing the client in a room near the nurses' station✓ 正解將病人安置在護理站附近的病房
- BApplying physical restraints to prevent movement使用身體約束以防止移動
- CKeeping the room lights turned off at night夜間關閉房間燈光
- DEncouraging the client to walk independently for exercise鼓勵病人獨立行走以進行運動
— Explanation · 中文詳解 —
跌倒預防的核心在於環境監測與減少風險。將高危險病人安排在護理站旁，能方便醫護人員隨時監控並及時回應呼叫。限制約束是最後手段，並非首選；鼓勵獨立行走若無防護則增加風險；關燈則會導致夜間視線不佳，增加跌倒風險。
The core of fall prevention is environmental monitoring and risk reduction. Placing a high-risk client in a room near the nurses' station allows staff to monitor the client and respond to calls promptly. Use of restraints is a measure of last resort, not a first choice; encouraging independent ambulation without protection increases risk; turning off the lights leads to poor visibility at night and increases the risk of falls.
✦ 台美臨床差異
美國醫療機構對預防跌倒措施的標準化極高（如使用防滑襪、床欄警報）；台灣臨床護理師常需負擔環境整理工作以確保行走空間淨空。