— 安全與感染控制 · MEDIUM · MCQ —
護理師使用 Morse Fall Scale 評估病人的跌倒風險。下列哪項因素導致該病人風險最高？
A nurse is assessing a client for fall risk using the Morse Fall Scale. Which factor places the client at the highest risk?
- AHistory of falls✓ 正解跌倒病史
- BAge over 65年齡超過65歲
- CTaking antihypertensive medication服用抗高血壓藥物
- DPresence of an IV line有靜脈留置管
— Explanation · 中文詳解 —
Morse Fall Scale (MFS) 是臨床評估跌倒風險的標準工具。評估項目包括：過去跌倒史、次診斷（Secondary diagnosis）、行走輔助、靜脈留置管、步態及精神狀態。其中，過去跌倒史在預測未來跌倒的權重最高，因為它直接反映了病人的生理機能缺陷或行為模式，是統計上最具指標意義的因子。護理師應優先鎖定此類高風險群，並落實預防措施。
A history of falls is the strongest predictor of future fall events and carries the highest weight on the Morse Fall Scale. Identifying clients with prior falls allows nurses to prioritize targeted interventions and implement enhanced safety measures to prevent recurrence.