— 基本照護與舒適 · EASY · MCQ —
一位病人表示在醫院難以入睡，護理師應先採取哪項措施？
A client reports difficulty falling asleep in the hospital. Which intervention should the nurse implement first?
- AKeep the room lights on to prevent falls保持房間燈光開啟以防跌倒
- BAdminister a PRN sleeping medication給予 PRN 安眠藥物
- CEncourage the client to drink a cup of coffee before bed鼓勵病患睡前喝一杯咖啡
- DCluster nursing care activities to provide longer periods of rest✓ 正解集中安排護理活動以提供較長的休息時間
— Explanation · 中文詳解 —
醫院環境中睡眠障礙常見於頻繁的護理干擾。護理師應先採取非藥物介入，如統整照護活動（Cluster care），將測量生命徵象、抽血、給藥等工作集中在特定時段完成，創造連續的休息時間，此為減輕睡眠中斷最有效的措施。
Clustering nursing care activities minimizes sleep interruptions by consolidating tasks such as vital signs and medication administration into specific time frames. This non-pharmacological intervention creates longer, uninterrupted periods of rest, which is the most effective strategy for managing hospital-induced sleep disturbances.
✦ 台美臨床差異
美國醫院近年推行睡眠保護方案，台灣則因醫護人力負擔，常難以做到完全的集中護理。