一位病人因醫院環境壓力導致失眠。下列哪項護理措施最能促進舒適與睡眠？
A client is experiencing insomnia related to hospital environment stressors. Which nursing intervention best promotes comfort and sleep?
- AAdminister a PRN sedative before 8 PM於晚上8點前給予處方之需要時鎮靜劑
- BDim the lights and minimize noise during designated quiet hours✓ 正解在指定安靜時段調暗燈光並減少噪音
- CKeep the television on at a low volume for background noise讓電視以低音量播放作為背景噪音
- DPerform all assessments every hour to ensure client safety每小時進行所有評估以確保病人安全
病人因環境壓力導致失眠，護理介入應以營造舒適、低刺激環境為核心。將光線調暗並減少噪音（B）符合生理時鐘需求。藥物（A）應為次要選擇，且應配合整體睡眠計畫。電視（C）雖可產生白噪音，但聲光刺激仍會影響睡眠深度。頻繁評估（D）會打斷睡眠週期，應將護理活動集中化（Clustering care），確保病人的連續睡眠時間。
When a client experiences insomnia due to environmental stressors, nursing interventions should focus on creating a comfortable, low-stimulation environment. Dimming the lights and minimizing noise (B) supports the circadian rhythm. Medication (A) should be a secondary option and should be coordinated with the overall sleep plan. A television (C) can produce white noise, but its light and sound still disrupt deep sleep. Frequent assessments (D) interrupt sleep cycles, so nursing activities should be clustered to give the client extended periods of uninterrupted sleep.