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心理社會完整性 · MEDIUM · MCQ

護理師照顧一位患有早期阿茲海默症的長者。下列哪項護理介入最能維持病人住院期間的心理完整性?

A nurse is caring for an elderly client with early-stage Alzheimer's disease. Which intervention best supports the client's psychosocial integrity during hospitalization?

  • APlace the client in a quiet room with minimal stimulation
    將病人安置在干擾最小的安靜房間
  • BMaintain a consistent daily routine and provide visual cues✓ 正解
    維持一致的每日行程並提供視覺提示
  • CKeep the client in bed to prevent falls and anxiety
    讓病人卧床休息以防止跌倒和焦慮
  • DCorrect the client whenever they express confusion about the date
    當病人對日期表達困惑時立即糾正
Explanation · 中文詳解

對於阿茲海默症(Alzheimer's disease)病人,住院環境的改變常引發混亂與焦慮(Sundowning syndrome)。心理完整性的維持需依賴結構化的環境。固定的作息能建立安全感,視覺輔助工具則能幫助病人進行定向(Orientation),減少因認知障礙帶來的挫折感。護理重點應在於支持病人功能,而非強迫其適應混亂環境。

For clients with Alzheimer's disease, hospitalization often triggers confusion and anxiety (sundowning syndrome) due to environmental change. Preserving psychosocial integrity depends on a structured environment. A consistent routine provides a sense of security, and visual cues help the client maintain orientation and reduce frustration caused by cognitive impairment. Nursing care should focus on supporting the client's functional abilities rather than forcing adaptation to a disordered environment.

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