— 基本照護與舒適 · MEDIUM · MCQ —
護理師照護一位末期病人。下列哪項護理方法最能維持舒適？
A nurse is caring for a client who is terminally ill. Which nursing approach is most appropriate for maintaining comfort?
- ARestricting visitors to ensure the client rests限制探視者以確保病人休息
- BEnsuring all vital signs are monitored every hour確保每小時監測所有生命徵象
- CForcing the client to participate in physical therapy強制病人參與物理治療
- DPrioritizing the client's self-defined comfort needs✓ 正解優先滿足病人自我定義的舒適需求
— Explanation · 中文詳解 —
末期病人（Terminally ill）的照護核心在於「安寧緩和醫療（Palliative Care）」，目標是減輕痛苦、維護尊嚴與生活品質。此時，病人的意願高於一切，護理師應主動詢問並優先滿足病人所定義的舒適（Self-defined comfort needs）。強迫復健、過度頻繁的生命徵象監測或限制訪客，皆可能剝奪病人的自主權與心理支持，進而降低其安寧療護的品質。護理師應扮演溝通橋樑，將病人的需求轉達給醫療團隊。
In palliative care for terminally ill clients, prioritizing the client's self-defined comfort needs is essential to maintain dignity and quality of life. Nursing approaches should avoid restrictive measures like limiting visitors or forcing physical therapy, focusing instead on individualized comfort and psychological support.