— 安全與感染控制 · EASY · MCQ —
護理師評估新人護理師對跌倒預防的理解，哪項陳述正確？
A nurse is evaluating a new graduate nurse's understanding of fall prevention. Which statement by the graduate nurse indicates correct understanding?
- APlace the call light within the client's reach✓ 正解將呼叫器置於病人可觸及之處
- BKeep the bed in the highest position to facilitate care保持病床處於最高位置以方便照護
- CRestrain the client to ensure they stay in bed約束病人以確保其留在床上
- DClose the door to the client's room to ensure privacy關閉病人房門以確保隱私
— Explanation · 中文詳解 —
跌倒預防的基本原則是「確保環境安全與便利」。將呼叫鈴放置在病人隨手可得之處，能有效減少病人因自行下床而發生的跌倒風險。其他選項如調高床位、綑綁限制或關門，皆無法直接達成跌倒防範目標，甚至可能提高風險。
Placing the call light within easy reach is a fundamental fall prevention strategy that allows clients to summon assistance safely, reducing the need for unassisted movement. Other interventions like raising the bed height, using restraints, or closing the door can increase agitation or decrease visibility, thereby elevating the risk of falls.
✦ 台美臨床差異
美台皆推行「無約束」政策，但台灣醫院在評估約束時，需遵守更嚴格的護理記錄規範。