— 基本照護與舒適 · EASY · MCQ —
一位住院病人出現失眠，哪項護理介入最能促進休息？
A client is experiencing insomnia while hospitalized. Which nursing intervention is most effective at promoting rest?
- ATurning the television on to provide background noise開啟電視以提供背景噪音
- BKeeping the room lights bright to maintain orientation保持室內燈光明亮以維持定向力
- CEncouraging a nap during the afternoon鼓勵午後小睡
- DClustering nursing care activities to provide longer periods of sleep✓ 正解集中安排護理活動，以提供更長的睡眠時間
— Explanation · 中文詳解 —
住院病人的睡眠干擾多來自頻繁的醫療護理。將護理活動（如給藥、測量生命徵象、傷口換藥）集中處理，能提供更長時間的連續睡眠。午睡會影響夜間睡眠壓力，電視聲源會干擾入睡，過度光照會抑制褪黑激素分泌，皆不建議。
Clustering nursing care activities minimizes interruptions, allowing the client to achieve longer periods of uninterrupted sleep, which is crucial for restoring rest. Other options, such as providing noise or light, can stimulate the client and inhibit melatonin secretion, thereby worsening insomnia.
✦ 台美臨床差異
美方醫院極重視睡眠護理，常有夜間安靜時段（Quiet time）；台灣病房通常較嘈雜且查房頻率高，集中護理概念需加強。