— 基本照護與舒適 · HARD · MCQ —
護理師評估失眠病人的睡眠衛生，何者顯示需進一步衛教？
A nurse is evaluating the sleep hygiene of a client with insomnia. Which statement indicates a need for further teaching?
- AI exercise vigorously right before going to bed✓ 正解我在睡前進行劇烈運動
- BI avoid looking at the clock during the night我避免在夜間看時鐘
- CI keep my bedroom dark and quiet我保持臥室黑暗且安靜
- DI drink a cup of warm milk before bed我睡前喝一杯溫牛奶
— Explanation · 中文詳解 —
劇烈運動會刺激中樞神經系統，使身體處於亢奮狀態，不利於入睡。睡眠衛生建議運動應安排在睡前至少 3-4 小時。睡前喝溫牛奶因含有色胺酸，有助於放鬆；保持環境黑暗與安靜是良好睡眠基礎；避免看時鐘可減少焦慮感，這三者皆為正確的助眠行為。
Verifying client identity using two unique identifiers is the critical first step in medication administration to prevent wrong-patient errors. While techniques like the Z-track method reduce irritation and aspiration is no longer routinely recommended, patient safety goals prioritize accurate identification above all other procedural steps.
✦ 台美臨床差異
美國護理師常使用護理指導單進行睡眠習慣評估；台灣臨床多偏向給予助眠藥物，對睡眠衛生教育的執行力較不一致。