— 基本照護與舒適 · MEDIUM · MCQ —
護理師評估一位慢性疼痛病人，下列哪項病人敘述顯示了最有效的疼痛管理目標？
A nurse is assessing a client with chronic pain. Which statement by the client reflects the most effective pain management goal?
- AI will eliminate all my pain completely我會完全消除所有疼痛
- BI will be able to perform my daily activities with a pain level of 3/10✓ 正解我能在疼痛程度為 3/10 時執行日常活動
- CI will only call for medication when the pain becomes unbearable只有當疼痛難以忍受時，我才會要求用藥
- DI will stop taking all my pain medications我會停止服用所有止痛藥物
— Explanation · 中文詳解 —
慢性疼痛管理目標應具體、可測量且務實。要求完全零疼痛在慢性疾病中通常不切實際，目標應為提升功能活動。選擇 B 代表病人理解疼痛控制與生活品質的平衡。C 是不切實際的目標；C 則屬於延遲用藥，會導致疼痛惡化更難控制。
Chronic pain management goals should be specific, measurable, and realistic. Complete pain elimination is usually not achievable in chronic conditions; the goal is functional improvement. A statement focused on performing ADLs at a tolerable pain level (e.g., 3/10) indicates appropriate understanding. Discontinuing all medications and waiting until pain is unbearable both undermine effective control.
✦ 台美臨床差異
美國護理強調多模式疼痛管理；台灣則較依賴止痛藥物，對非藥物治療（如物理治療、心理諮商）的整合較為有限。