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基本照護與舒適 · HARD · SATA

一位病人正與疼痛與焦慮掙扎。護理師應執行哪些整體性護理介入?(選所有適合的)

A client is struggling with pain and anxiety. Which holistic nursing interventions should the nurse perform? (Select all that apply.)

  • AProvide a back massage✓ 正解
    提供背部按摩
  • BUse deep breathing exercises✓ 正解
    使用深呼吸運動
  • CAdminister pain medication without assessment
    未經評估給予止痛藥物
  • DFacilitate a therapeutic conversation✓ 正解
    促進治療性對話
  • EMinimize unnecessary noise✓ 正解
    減少不必要的噪音
Explanation · 中文詳解

整體性照護(Holistic care)應結合身、心、靈的介入。背部按摩(A)放鬆肌肉;深呼吸(B)穩定自律神經;治療性溝通(D)宣洩情緒;環境安靜(E)降低焦慮。Administer pain medication without assessment(C)違反安全給藥原則,必須先評估疼痛性質、強度與反應後,再根據醫囑決定是否給藥,不可盲目執行。

Holistic care integrates physical, psychological, and spiritual interventions. Back massage (A) relaxes muscles; deep breathing (B) stabilizes the autonomic nervous system; therapeutic conversation (D) facilitates emotional release; a quiet environment (E) reduces anxiety. Administering pain medication without assessment (C) violates safe medication administration principles; the nurse must first assess pain quality, intensity, and response before deciding to administer medication per order, and should never act blindly.

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