— 照護管理 · EASY · MCQ —
護理師準備協助一位需轉介居家照護的病人出院。居家護理師在首次訪視時的首要責任為何？
A nurse is preparing to discharge a client who has a prescription for home health services. Which of the following activities is the primary responsibility of the home health nurse upon the first visit?
- ATeach the client how to use assistive devices教導病人如何使用輔具
- BChange the client's wound dressing更換病人的傷口敷料
- CPerform a comprehensive physical assessment and environmental safety check✓ 正解執行全面的身體評估及環境安全檢查
- DAdminister prescribed medications給予處方藥物
— Explanation · 中文詳解 —
居家護理的首要目標是評估病人在家中的功能狀態與居家環境安全性（Fall risk assessment）。只有完成全面性評估，才能根據病人的實際需求制定後續的照護計畫。其他選項屬於照護介入過程的細項。
The primary aim of home health on the first visit is to assess the client's functional status and home environmental safety (including fall risk). Only after a comprehensive assessment can subsequent care be planned to meet actual needs. The other options are details of care interventions performed later.
✦ 台美臨床差異
台灣居家護理師多由健保給付下的醫療院所派駐，重點偏向護理處置；美國居家護理師權責更廣，涵蓋環境管理。