— 健康促進與維護 · MEDIUM · MCQ —
社區護理師教導老年人防跌倒。個案在家中最有效的介入措施為何？
A community health nurse is educating an older adult client on fall prevention. Which intervention is the most effective for the client to implement in their home?
- AInstall bright lighting in every room在各房間安裝明亮照明
- BPractice balance exercises once a week每週練習一次平衡運動
- CIncrease the intake of calcium and vitamin D增加鈣質和維生素 D 的攝取
- DRemove all small throw rugs and secure electrical cords✓ 正解移除所有小塊地毯並固定電線
— Explanation · 中文詳解 —
環境安全性是預防跌倒的首要考量。小地毯與電線是導致絆倒的常見障礙物，移除它們能直接消除跌倒風險。其他選項雖然重要（如照明、營養、運動），但屬於長期調整或辅助性預防，移除家中的實體障礙物是立即且成效最顯著的居家安全改善。
Environmental safety is the primary consideration in fall prevention, as removing physical obstacles directly eliminates immediate tripping hazards. While lighting, nutrition, and exercise are important, removing throw rugs and securing electrical cords provides the most effective and immediate reduction in fall risk within the home.
✦ 台美臨床差異
美國護理師常參與居家環境安全評估；台灣則多由物理治療師或長照評估員協助環境改造。