一位有跌倒病史的病人，下列何者是確保安全最好的做法？
A nurse is caring for a client with a history of falls. What is the best way to ensure the client's safety?
- AApply physical restraints to keep the client in bed使用身體約束具以限制病人留在床上
- BKeep the call light within reach at all times✓ 正解確保呼叫鈴隨時在可及範圍內
- CKeep the light off at night to encourage sleep夜間熄燈以促進睡眠
- DPlace the client in a room far from the nurse's station將病人安置於遠離護理站的房間
跌倒預防的核心在於平衡「病人自主權」與「安全監測」。對於有跌倒病史的病人，確保其能隨時聯繫護理人員是預防跌倒最重要的介入措施。呼叫鈴（call light）是病人尋求協助的主要途徑，能避免病人因無法下床或無人協助而擅自嘗試行動。在 NCLEX 考試中，應優先選擇侵入性最低、最能維護病人自主權且有效的預防措施。
The core of fall prevention is balancing client autonomy with safety monitoring. For a client with a history of falls, ensuring access to nursing staff at any time is the single most important intervention for preventing falls. The call light is the client's principal means of seeking help and prevents the client from attempting to move independently when no one is available to assist. On the NCLEX, the least invasive measure that preserves client autonomy and is effective should be selected as the preferred preventive intervention.
在美國臨床實務中，對「束縛」的使用有嚴格的聯邦規範（CMS 規定），護理師需評估並持續監測，且不可作為懲罰或便利照護的手段。呼叫鈴的放置在美國醫院屬於病人權利與病人安全（Patient Safety）的標準檢查項目。