護理師正在督導一名看護（AP）照護有癲癇病史的病人。下列哪項觀察顯示該看護的操作是安全且正確的？
A nurse is supervising an assistive personnel (AP) who is providing care for a client with a history of seizures. Which observation by the nurse indicates that the AP is performing the task safely and correctly?
- AThe AP protects the client’s head and turns them to the side✓ 正解看護保護病人頭部並將其轉為側臥
- BThe AP attempts to restrain the client's limbs to stop the movements看護試圖約束病人四肢以停止動作
- CThe AP places a tongue blade in the client's mouth during the seizure看護在發作期間將舌壓板放入病人口中
- DThe AP immediately tries to feed the client water after the seizure stops看護在發作結束後立即嘗試餵病人喝水
癲癇發作時的護理優先原則在於保護病人免受意外傷害，而非強行干預生理過程。最核心的照護是保持呼吸道通暢與避免頭部撞擊：將病人頭部墊高或保護，並將身體側向一側以利口腔分泌物流出，預防吸入性肺炎。這屬於基本的安全防護範疇，護理師需確保 AP 了解『不限制動作、不強塞異物、不餵食』的三不原則。選項 C 是過時的錯誤觀念，強塞舌壓板易造成病人牙齒斷裂或阻塞呼吸道；B 選項強行壓制病人會導致肌肉骨骼受損甚至骨折；D 選項則忽略了癲癇後（post-ictal）病人意識可能尚未完全恢復，過早給水容易導致嗆咳誤吸。此情境測試的是護理師對 delegation 後的監測能力，確認輔助人員遵循安全標準作業程序。
Protecting the client’s head and turning them to the side are correct safety measures to prevent aspiration of secretions and physical injury during a seizure. Restraining limbs or inserting objects into the mouth can cause fractures or airway obstruction, while feeding fluids immediately after a seizure risks aspiration due to impaired swallowing reflexes.
美國護理機構極度重視職責劃分，AP（Nursing Assistant）對於癲癇安全 Protocol 的訓練是強制性的，護理師不需全程盯著，但需確保其 competency 紀錄；台灣醫院則較依賴家屬照護，對於 AP 或照護服務員的癲癇安全教育較缺乏標準化訓練，護理師需投入更多衛教時間於病人家屬身上。