— 基本照護與舒適 · MEDIUM · MCQ —
護理師協助一位早期失智症病人進行口腔清潔，病人變得激躁。哪項護理措施最適合？
A nurse is assisting a client with early-stage dementia to perform oral hygiene. The client becomes agitated. Which intervention is most appropriate?
- ARestrain the client's hands to finish quickly約束客戶雙手以快速完成
- BCall family members to assist呼叫家屬協助
- CWait and try again at a later time✓ 正解等待並稍後再嘗試
- DExplain the importance of hygiene firmly堅定地解釋衛生的重要性
— Explanation · 中文詳解 —
面對失智病人的激躁行為，應遵循『簡化』與『減壓』原則。堅持執行護理會增加病人的挫折感與攻擊風險。延後進行可避開病人的情緒高峰，減少護病衝突並維持病人尊嚴，這與強制執行或約束相比，是更具人本關懷的選擇。
For an agitated client with dementia, follow the principles of simplification and de-escalation. Insisting on care will increase frustration and aggression risk. Postponing avoids the emotional peak, reduces conflict, and maintains dignity—a more humane choice than forced execution or restraint.
✦ 台美臨床差異
美國護理強調 Person-Centered Care，對約束使用限制嚴格；台灣臨床對失智症病人處理常面臨家屬壓力，較容易採取快速完成的策略。