護理師評估病人的個人衛生需求。評估其自我照顧能力時,應考慮哪些因素?(選所有適合的)
A nurse is assessing a client's hygiene needs. Which factors should be considered when assessing the client's ability to perform self-care? (Select all that apply.)
- ACognitive impairment✓ 正解認知障礙
- BMusculoskeletal strength✓ 正解肌肉骨骼力量
- CEnergy level and fatigue✓ 正解能量水平和疲勞感
- DReligious or cultural preferences✓ 正解宗教或文化偏好
- EThe cost of hygiene products衛生用品的成本
評估自我照顧能力(Self-care)時,護理師需從多維度進行分析。認知功能決定個案是否能遵循步驟;骨骼肌肉強度決定是否有足夠體力;能量與疲勞程度影響執行效率;文化信仰則可能影響個案對個人衛生的偏好。這些因素共同決定了個案需要多少協助。成本雖為社會經濟因素,但不是評估「生理自我照顧能力」的臨床重點。
When assessing self-care ability, the nurse must analyze the patient from multiple dimensions. Cognitive function determines whether the patient can follow steps; musculoskeletal strength determines whether enough physical capacity is present; energy and fatigue levels affect efficiency; and cultural beliefs may shape the patient's preferences regarding personal hygiene. These factors together determine how much assistance is required. Cost is a socioeconomic factor but is not the clinical focus when evaluating 'physiologic self-care ability.'