護理師為高齡病人進行居家安全評估。下列哪項發現是重大跌倒風險？
A nurse is conducting a home safety assessment for an elderly client. Which finding is a major fall risk?
- AClear pathways for walking保持行走路徑暢通
- BRugs on hardwood floors without non-slip backing✓ 正解硬木地板上未附防滑底襯的地毯
- CHandrails installed in the shower淋浴間內安裝扶手
- DBrightly lit staircases樓梯照明充足
高齡病人的居家安全評估重點在於減少環境中的跌倒危險因子。跌倒是老年人失能與住院的主要原因，護理師應評估步態、環境障礙與照明。未固定的地毯（rugs）是極常見的隱形殺手，容易滑動或邊緣捲曲導致絆倒。相較之下，適當的照明、扶手與無障礙空間皆為預防措施。在臨床評估時，應特別注意地毯防滑墊的缺失，這是最需要立即改善的環境安全問題。
Home safety assessment in older adults focuses on reducing environmental fall risk factors. Falls are a leading cause of disability and hospitalization in the elderly, and the nurse should evaluate gait, environmental hazards, and lighting. Unsecured rugs are a common hidden hazard, easily slipping or curling at the edges and causing trips. By contrast, adequate lighting, handrails, and accessible spaces are preventive measures. During clinical assessment, particular attention should be paid to the absence of nonslip pads under rugs, which is the most pressing environmental safety issue to address.