— 照護管理 · MEDIUM · MCQ —
護理師照護一位新診斷病人。第一優先的護理行動為何？
A nurse is caring for a client with a new diagnosis. What is the priority nursing action?
- ACall the patient's pastor聯絡病人的牧師
- BRequest family involvement immediately立即請求家屬參與
- CComplete the admission nursing assessment✓ 正解完成入院護理評估
- DFocus on discharge planning專注於出院規劃
— Explanation · 中文詳解 —
面對新診斷病人，建立完整照護基礎的首要步驟是進行完整的入院評估（Admission Assessment）。這能幫助護理師了解病人的需求、潛在風險、學習能力與身心狀態，為後續的護理計畫、衛教與出院規劃提供科學依據。
The priority nursing action for a client with a new diagnosis is to complete the admission nursing assessment. This foundational step allows the nurse to identify the client's needs, potential risks, and learning capabilities, which informs all subsequent care planning and interventions. Spiritual support and discharge planning are important but follow the initial clinical assessment.
✦ 台美臨床差異
台美皆視入院評估為護理師法律責任；美國常包含社會與心理層面之全面性評估。