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心理社會完整性 · MEDIUM · MCQ

護理師照顧一位獨居的老年病人,其表現出營養不良且儀容不整。評估時最重要的一句話是什麼?

A nurse is caring for an elderly client who lives alone and appears malnourished and poorly groomed. Which question is most important to ask during the assessment?

  • AAre you taking your medications as prescribed by your doctor?
    您是否按照醫師指示服藥?
  • BHave you been feeling sad or hopeless lately?
    您最近是否感到悲傷或絕望?
  • CWho helps you with your grocery shopping and daily chores?✓ 正解
    誰協助您購買 groceries 和處理日常家務?
  • DCan you describe a typical day's worth of meals for you?
    您可以描述一下您典型一天的飲食嗎?
Explanation · 中文詳解

對於可能存在「自我忽視」(Self-neglect)或缺乏支持系統的老人,評估「社會支持系統」與「日常生活能力」(ADLs)的支持至關重要。選項 C 能直接探查其生活資源與支持網。D、B、A 雖也重要,但了解其生存基礎的支持(Who helps you)在跨專業轉介(如社工)中最具優先性。

For an older adult who may exhibit self-neglect or lack a support system, assessing the social support system and assistance with activities of daily living (ADLs) is critical. Option C directly explores the patient's living resources and support network. Although D, B, and A are also important, understanding the foundational support that enables the patient's daily living ("Who helps you") has the highest priority for interdisciplinary referral (for example, to social work).

✦ 台美臨床差異

美國有完善的 Adult Protective Services (APS);台灣則由長照 2.0 介入,但通報標準與機制略有不同。

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