— 基本照護與舒適 · EASY · MCQ —
在給藥前，護理師應採取何項措施以確保正確核對病人身分？
Which action should the nurse take to ensure proper identification of a client before medication administration?
- AAsk the client, "Are you Mr. Smith?"詢問病人：『您是史密斯先生嗎？』
- BCheck the client's name on the chart at the nurse's station查對護理站病歷上的病人姓名
- CCheck the identification bracelet while the client is sleeping趁病人睡覺時查對識別手環
- DAsk the client to state their name and date of birth✓ 正解請病人自行報出姓名和出生日期
— Explanation · 中文詳解 —
核對身分應採用「開放式問句」。請病人說出姓名與出生年月日可確認其認知狀況與身分。詢問「你是王先生嗎？」是引導性問句，可能導致病人誤回答。核對病歷不夠準確；睡夢中核對應使用手圈掃描確認，若不可行，應在病人清醒後再給藥。
Identification should use open-ended questioning. Having the client state name and date of birth confirms both identity and cognition. Asking 'Are you Mr. Smith?' is a leading question that can elicit erroneous confirmation. Checking the chart alone is unreliable; if the client is asleep, the wristband barcode should be scanned, or administration delayed until the client is awake.
✦ 台美臨床差異
美國醫院全面推廣條碼掃描（BCMA）給藥；台灣部分醫院亦逐步跟進，但床邊口頭確認仍是核心流程。