— 健康促進與維護 · EASY · MCQ —
護理師為一位有跌倒風險的高齡病人制定健康促進計畫，應包含哪項行動？
Which action should the nurse include in a health promotion plan for an elderly client at risk for falls?
- AIncrease the height of the bed as much as possible.盡可能提高病床高度。
- BEncourage the client to use dim lighting at night.鼓勵個案在夜間使用昏暗燈光。
- CRemove throw rugs throughout the house.✓ 正解移除屋內所有的拋棄式地毯（throw rugs）。
- DSuggest wearing socks without shoes inside.建議在室內僅穿襪子而不穿鞋。
— Explanation · 中文詳解 —
跌倒預防的核心在於環境安全改造。地毯（Throw rugs）是居家常見的絆倒風險來源，應移除。B 選項：應保持夜間足夠照明；D 選項：襪子防滑力不足，應穿著防滑拖鞋；A 選項：床過高會增加上下床摔倒風險，應維持適當高度。
The core of fall prevention is modifying the environment for safety. Throw rugs are a common household tripping hazard and should be removed. Option B: adequate lighting should be maintained at night; option D: socks provide insufficient traction, and non-slip slippers are preferred; option A: a bed that is too high increases the risk of falling when getting in or out of bed, so the bed height should remain appropriate.
✦ 台美臨床差異
美國有針對居家跌倒風險評估的標準量表，台灣則多透過個管師進行居家環境訪視衛教。