阿茲海默症病人的哪項評估發現代表「失語症(aphasia)」?
Which assessment finding in a client with Alzheimer's disease represents 'aphasia'?
- AInability to perform familiar tasks like brushing teeth無法執行刷牙等熟悉的工作
- BInability to plan or organize complex activities無法規劃或組織複雜的活動
- CFailure to recognize common objects無法辨識常見物品
- DDifficulty finding words to communicate✓ 正解難以找到詞彙以進行溝通
阿茲海默症(Alzheimer's disease)是一種進行性神經退化性疾病,其臨床表現涵蓋了多種認知功能障礙,其中「失語症(aphasia)」是常見且具代表性的症狀之一。失語症指的是語言功能受損,可能表現為表達性失語(expressive aphasia),即無法流暢地表達想法或找到合適的詞彙;也可能是接受性失語(receptive aphasia),即難以理解他人說話的內容。在阿茲海默症病人中,詞彙提取困難(difficulty finding words)是早期失語症的典型表現,會嚴重影響日常溝通能力。 正確識別失語症對於護理師評估病人的溝通需求和制定適當的照護計畫至關重要。了解病人面臨的具體語言困難,可以幫助護理師採用更有效的溝通策略,例如使用簡短句、視覺提示或非語言溝通方式,以減少病人的挫折感並維持其尊嚴。
Aphasia refers to language impairment, such as difficulty finding words to communicate, which is a common early sign in Alzheimer's disease. Inability to perform familiar tasks indicates apraxia, failure to recognize objects indicates agnosia, and planning difficulties relate to executive dysfunction.