— 健康促進與維護 · MEDIUM · MCQ —
一位 75 歲個案抱怨睡眠困難。針對睡眠衛生，護理師應優先建議哪項非藥物策略？
A 75-year-old client reports difficulty sleeping. Which non-pharmacological strategy should the nurse prioritize for sleep hygiene?
- AMaintain a consistent sleep-wake schedule✓ 正解維持固定的睡眠-覺醒作息
- BTake a long nap in the late afternoon to compensate for fatigue在下午晚些時候進行長時間午睡以補償疲勞
- CExercise vigorously immediately before bedtime睡前立即進行劇烈運動
- DDrink warm milk right before going to bed睡前喝溫牛奶
— Explanation · 中文詳解 —
老年人睡眠障礙常與生理時鐘（Circadian Rhythm）失調有關。建立規律的睡眠衛生（Sleep Hygiene）是改善睡眠品質的首要策略。透過維持固定的入睡與起床時間，能有效穩定晝夜節律，增強睡眠驅力。其他選項如午睡、睡前飲食或劇烈運動，皆會干擾正常的睡眠週期，不利於老年人維持良好的睡眠架構。
Obtaining informed consent is the priority legal and ethical step before performing an invasive procedure like a lumbar puncture. While positioning is important, the client should be in a side-lying fetal position, not prone, and routine NPO status or prophylactic antibiotics are generally not required.