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照護管理 · EASY · MCQ

護理師準備協助一位有酒精成癮史的病人出院,哪位跨領域團隊成員最適合協調長期的居家健康照護服務?

A nurse is preparing to discharge a client with a history of alcohol use disorder. Which interdisciplinary team member is the most appropriate to coordinate long-term home health services?

  • AThe social worker✓ 正解
    社會工作者
  • BThe hospital chaplain
    醫院牧師
  • CThe physical therapist
    物理治療師
  • DThe primary healthcare provider
    主要醫療提供者
Explanation · 中文詳解

出院計畫與長期資源連結主要由社會工作者(Social Worker)主導。社工評估病人的社會支持系統、經濟狀況及資源連結,能確保病人出院後獲得穩定的照護支持。醫師負責醫療診斷,物理治療師專注功能復健,牧師則提供心靈支持,均非協調居家資源的首選人員。

Discharge planning and long-term resource coordination are primarily led by the social worker, who assesses social support, financial status, and community resources to ensure stable home health services after discharge. The primary care provider manages medical diagnoses, the physical therapist focuses on functional rehabilitation, and the chaplain provides spiritual support; none coordinates home care resources as effectively as the social worker.

✦ 台美臨床差異

美國護理機構有專業的出院規劃師(Case Manager/Social Worker),台灣則多由出院準備服務小組(護理師/社工共同參與)。

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