護理師正在教導病人如何進行關節活動（ROM）運動。病人下列哪項陳述表示需要「進一步」衛教？
A nurse is teaching a client how to perform range-of-motion (ROM) exercises. Which statement by the client indicates a need for further teaching?
- AI will support the joint by holding the distal and proximal areas.我會握住關節的遠端和近端來支撐關節
- BI should move each joint until I feel a slight resistance.我應該將每個關節活動直到感覺輕微阻力為止
- CIf my joint starts to hurt, I should push through the pain to increase flexibility.✓ 正解如果我的關節開始疼痛，我應該忍痛繼續以增加柔軟度
- DI will perform these exercises at least twice a day.我每天至少會進行兩次這些運動
關節活動（ROM）的核心安全原則是「不可造成疼痛」。ROM 的目的是維持關節靈活度與防止攣縮，而非肌力訓練或極限拉伸。選項 C 提到的「克服疼痛繼續推動」是錯誤觀念，這會導致關節囊撕裂或軟組織損傷。正確的做法是活動到「有阻力但無痛」的點（選項 B）。選項 D 的頻率（每天兩次）符合一般建議。選項 A 提到的支撐方式（支撐近端與遠端）是標準動作，能確保活動時的平穩與安全，避免因力矩不當造成骨折或拉傷。護理師應評估病人的耐受度，對於術後或長期臥床病人，應由主動運動漸進至被動運動。若發現關節紅腫熱痛，應暫停並通報醫師評估是否有發炎或深部靜脈栓塞（DVT）的可能性。
The client needs further teaching if they believe they should push through pain during range-of-motion exercises, as this can cause tissue damage or joint injury. Exercises should stop at the point of slight resistance without pain, and proper joint support should be maintained to ensure safety.
美國 NCLEX 非常強調「Safety First」，任何暗示忍痛的選項多為錯誤；台灣臨床上部分長輩受「要動才會好」的觀念影響，容易過度運動，護理師需特別強調「不痛」的重要性，並與物理治療師協同評估。