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照護管理 · MEDIUM · SATA

護理師為失智症病人規劃照護時,應包含哪些安全環境措施?(選所有適合的)

Which activities should the nurse include when planning care for a client with dementia to ensure a safe environment? (Select all that apply.)

  • AUsing night lights in the bedroom and bathroom✓ 正解
    在臥室和浴室使用夜燈
  • BKeeping personal belongings in the same place✓ 正解
    將個人物品保持在同一位置
  • CLocking all exits to prevent wandering
    鎖住所有出口以防止遊蕩
  • DMaintaining a predictable daily routine✓ 正解
    維持可預測的日常作息
  • ERemoving scatter rugs from the floor✓ 正解
    移除地板上的散落地毯
Explanation · 中文詳解

失智症(Dementia)病人的照護核心在於「環境改造」(Environmental modification)以降低認知缺損帶來的風險。病人常因視知覺障礙、混亂與遊走(Wandering)行為導致跌倒,因此營造可預測、安全且無障礙的環境是護理優先事項。選項 A、B、D、E 均為實證支持的跌倒預防措施,透過減少環境變數與物理障礙,能顯著提升安全性。

The core of care for clients with dementia is environmental modification to reduce risks caused by cognitive deficits. Clients frequently fall due to visuospatial impairment, confusion, and wandering, so creating a predictable, safe, and obstacle-free environment is a nursing priority. Options A, B, D, and E are all evidence-based fall prevention measures; reducing environmental variables and physical hazards significantly improves safety.

✦ 台美臨床差異

美國法規對機構(Long-term care facility)的消防與出口安全要求極為嚴格,強調「最小限制原則」(Least restrictive environment),禁止隨意鎖死出口,通常採用警報系統(WanderGuard)或門禁密碼鎖。

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