護理師準備協助一位腦血管意外（CVA）病史的病人轉位至椅子，哪項措施最優先？
A nurse is preparing to transfer a client with a history of CVA to a chair. Which action is the priority?
- AAssessing the client's current muscle strength✓ 正解評估個案目前的肌肉力量
- BPositioning the chair on the client's stronger side將椅子放置在個案較強健的一側
- CLocking the wheels of the bed and the chair鎖定病床與椅子的輪子
- DApplying a gait belt around the client's waist在個案腰部綁上步態固定帶
護理過程的第一步永遠是「評估（Assessment）」。在協助腦血管意外（CVA）病人轉位前，必須先掌握病人當下的肌力、平衡感、對指令的配合度以及是否有頭暈等症狀，才能決定需要幾位護理人員協助以及是否需使用輔具（如轉位板或護腰）。若未評估直接執行，極易導致病人跌倒或護理師職業傷害。其他步驟（鎖定輪子、使用護腰）皆為執行轉位過程的必要安全措施，需在評估後依據評估結果執行。
The first step of the nursing process is always assessment. Before transferring a client with a history of cerebrovascular accident (CVA), the nurse must determine the client's current muscle strength, balance, cooperation with commands, and presence of dizziness, in order to decide how many staff are needed and whether assistive devices (such as a transfer board or gait belt) are required. Proceeding without assessment greatly increases the risk of client falls or occupational injury to the nurse. The other steps (locking the wheels, applying a gait belt) are necessary safety measures during the transfer itself, performed after assessment based on its results.