— 基本照護與舒適 · EASY · MCQ —
護理師準備將術後病人從床位移至椅上。在啟動移動程序前，哪項評估是優先事項？
A nurse is preparing to transfer a client who is post-operative from a bed to a chair. Which assessment is the priority before initiating the transfer?
- AObtain assistance from another staff member尋求其他工作人員的協助
- BEnsure the brakes on the bed are locked確保病床煞車已鎖住
- CAssess the client's ability to assist with the move✓ 正解評估病患協助移動的能力
- DDetermine if the client has pain確定病患是否有疼痛
— Explanation · 中文詳解 —
人體工學與病人安全的首要原則是評估病人的認知功能與肌肉力量。護理師需確認病人能配合的程度，以決定是否需要輔具或協助，防止跌倒或員工拉傷。其他項目如鎖定煞車雖是必要安全步驟，但需先評估病人狀況才能決定移動方式。
Before transferring a post-operative client, the nurse must first assess the client's physical and cognitive ability to assist with the move. This assessment determines the level of assistance required and ensures safe handling, which takes precedence over secondary steps like locking bed brakes or managing pain.
✦ 台美臨床差異
美台皆強調病人安全評估（如 Morse Fall Scale），但在台灣臨床實務中，護理師常需更主動依賴照服員協助移動。