護理師準備將一位高齡病人從床上轉移至椅子，哪項措施是確保病人安全的首要考量？
A nurse is preparing to transfer an older adult client from the bed to a chair. Which action is the priority to ensure client safety?
- AApply a gait belt around the client's waist在病人腰部綁上步態帶
- BAssess the client's ability to assist with the transfer✓ 正解評估病人協助轉移的能力
- CPlace the chair at a 90-degree angle to the bed將椅子放置在與床呈 90 度角的 position
- DLock the wheels on both the bed and the chair鎖定床和椅子的輪子
護理安全的核心在於「評估先行」。在執行任何移動病人的活動前，護理師必須先評估病人的認知能力、肌力、平衡感及配合度。這不僅是為了病人安全，也能決定需要多少人手或輔助工具（如移位板、移位機）。若未評估即開始動作，極易導致病人跌倒或護理師職業傷害。其他選項雖皆為正確準備步驟，但必須建立在評估之後才能發揮作用。
The core of nursing safety is 'assessment first.' Before any patient transfer, the nurse must first assess the client's cognition, muscle strength, balance, and ability to cooperate. This not only ensures patient safety but also determines how many staff or assistive devices (such as a transfer board or mechanical lift) are required. Initiating the move without assessment can easily result in patient falls or staff injury. The other options are appropriate preparatory steps, but they only become effective once the assessment has been completed.