— 心理社會完整性 · EASY · MCQ —
護理師教導失智症病人的家屬關於居家安全。下列哪項建議最重要？
A nurse is teaching a family member about home safety for a client with Alzheimer’s disease. Which recommendation is most important?
- AChange the furniture layout frequently for stimulation經常改變家具佈局以提供刺激
- BRemove throw rugs to prevent falls✓ 正解移除地毯以防止跌倒
- CKeep the house dimly lit at night夜間保持室內燈光昏暗
- DEncourage the client to cook alone to foster independence鼓勵病人獨自烹飪以培養獨立性
— Explanation · 中文詳解 —
失智症（Alzheimer’s disease）病人常伴隨視知覺扭曲與平衡感退化。居家安全的核心原則是預防跌倒（Fall prevention）與減少認知負荷。移除地毯可平整地板表面，消除絆倒風險。昏暗環境會惡化視知覺障礙，引發黃昏症候群（Sundowning）；烹飪涉及高溫與利器，對認知功能衰退者屬高風險活動；頻繁更動家具會剝奪病人的熟悉感，導致焦慮與定向感喪失。
Home safety for clients with Alzheimer’s disease focuses on fall prevention and reducing cognitive load by maintaining a familiar environment. Removing throw rugs eliminates trip hazards on floor surfaces, whereas dim lighting can worsen visual distortions and frequent furniture changes may cause disorientation and anxiety.