— 照護管理 · MEDIUM · MCQ —
護理師督導照護員（AP）照顧中風病人，觀察到哪種情形需要介入？
A nurse is supervising an assistive personnel (AP) providing care for a client with a history of stroke. Which observation by the nurse indicates a need for intervention?
- AThe AP places the client's water on the bedside table on the affected side✓ 正解照護員將病人的水杯放在患側的床邊桌上
- BThe AP encourages the client to use their unaffected hand to feed themselves照護員鼓勵病人使用健側手自行進食
- CThe AP applies a gait belt before assisting the client to a chair照護員在協助病人坐椅子前綁上步態帶
- DThe AP keeps the side rails up on the affected side of the bed照護員將病床患側的床欄拉起
— Explanation · 中文詳解 —
中風病人常出現單側偏側忽略（Hemineglect），特別是在右大腦半球受損時。此類病人會忽略患側的視覺與感知刺激，若將物品置於患側，病人因無法察覺而可能拿不到，或在伸手取物時導致重心不穩而跌倒。護理師督導照護員（AP）時，應確保所有日常用品置於健側，並引導病人主動轉頭掃視患側，以擴大視野範圍，提升自主生活能力與安全性。
Stroke clients (especially with right hemisphere injury) often experience hemineglect of the affected side, ignoring visual and sensory stimuli on that side. Placing items on the affected side means the client may not see or reach them, risking dehydration or falls when attempting to retrieve them. Items should be placed on the unaffected side while encouraging deliberate scanning to the neglected side.