— 心理社會完整性 · MEDIUM · SATA —
護理師為罹患失智症且出現「日落症候群」（Sundowning syndrome）的病人規劃照護。應執行哪些策略？（選所有適合的）
A nurse is planning care for a client with dementia who is experiencing sundowning syndrome. Which strategies should the nurse implement? (Select all that apply.)
- AKeep the room well-lit during the late afternoon✓ 正解在下午晚些時候保持房間燈光明亮
- BMaintain a consistent daily routine✓ 正解維持一致的每日作息
- CSchedule all physical therapy and activities for the evening將所有物理治療和活動安排在晚上
- DReduce noise and environmental stimuli during the evening✓ 正解在晚上減少噪音和環境刺激
- ELimit daytime naps to prevent sleep-wake cycle disruption✓ 正解限制白天午睡以防止睡眠-覺醒週期紊亂
— Explanation · 中文詳解 —
日落症候群（Sundowning syndrome）常見於失智症病人，因生理時鐘紊亂導致傍晚時出現混亂、焦慮。照護策略包括：利用光線與安靜環境減少錯覺、固定生活作息維持方向感、限制日間睡眠以增加夜間入睡需求。避免在傍晚安排高強度活動，以免過度刺激病人。護理師透過這些環境與作息調整，能有效減輕病人的焦慮與混亂行為。
Sundowning syndrome involves increased confusion and agitation in the late afternoon or evening due to circadian rhythm disruptions. Nursing interventions include maintaining a consistent routine, providing adequate lighting to reduce shadows, minimizing environmental stimuli, and limiting daytime naps to promote nighttime sleep.