— 安全與感染控制 · MEDIUM · MCQ —
護理師照護受保護約束（Restraints）的病人，首要目的是什麼？
What is the primary goal of nursing interventions for a client with restraints?
- ATo ensure client safety and prevent injury✓ 正解確保客戶安全並預防受傷
- BTo keep the client quiet讓客戶保持安靜
- CTo avoid the need for sedatives避免需要使用鎮靜劑
- DTo allow the staff to focus on other patients讓護理人員能專注於其他病人
— Explanation · 中文詳解 —
保護性約束是不得已的選擇，核心目的是「維持安全與預防傷害」（Safety & Prevention of injury），如防止病人拔除重要的救命管路或跌倒。絕對不可為了減少人力或讓病人安靜（B, D）而使用約束。應隨時評估約束必要性，並尋求非侵入性替代方案（D 是理想目標，但非首要指標）。
Protective restraint is used as a last resort, and its core purpose is to maintain safety and prevent injury, such as preventing the client from removing critical life-sustaining lines or from falling. Restraints must never be used to reduce staffing demands or to keep the client quiet (B, D). The need for restraint must be reassessed continuously, and noninvasive alternatives should be sought (C is an ideal goal but not the primary indicator).
✦ 台美臨床差異
美國法規對約束規範非常嚴格（需醫囑、定時評估）；台灣近年亦跟進，加強約束評估流程與去機構化理念。