護理師教導病人使用助行器，下列哪項觀察顯示病人需要進一步指導？
A nurse is teaching a client about the use of a walker. Which observation indicates the client needs further instruction?
- AThe client advances the unaffected leg second病人第二個移動未受影響的腿
- BThe client pushes against the walker to stand up from a chair✓ 正解病人推著助行器從椅子上站起來
- CThe client moves the walker 6-8 inches forward first病人首先將助行器向前移動 6-8 英寸
- DThe client follows with the affected leg病人隨後移動受影響的腿
使用助行器（walker）的核心安全原則是維持重心穩定。當病人從椅子起身時，若直接將體重壓在助行器上，因助行器並非固定裝置，極易向前方滑動導致病人跌倒。正確的起身方式應是將雙手撐在椅子扶手（armrests）上，待身體完全站穩後，再握住助行器。選項 C、D、A 描述的是正確的步態週期，即「移架、患肢、健肢」的順序，這能確保移動過程中重心始終保持平衡。
The core safety principle of using a walker is to maintain a stable center of gravity. When the client rises from a chair by placing weight directly on the walker, the walker, which is not a fixed device, can readily slide forward and cause a fall. The correct method of standing is to push up using the chair's armrests and only grasp the walker after the body is steady. Options C, D, and A describe the correct gait cycle, namely the sequence of moving the walker, then the affected leg, then the unaffected leg, which keeps the center of gravity balanced throughout movement.
台美臨床教學中，助行器使用原則一致，皆強調「起身時手不可撐助行器」。在美國醫院環境中，物理治療師（PT）通常會參與評估，護理師需確認病人是否能正確執行此動作以防止住院期間跌倒（Fall Precautions）。