— 安全與感染控制 · EASY · MCQ —
在評估病人的跌倒風險時，哪項因素代表了最大的安全隱憂？
When assessing a client's risk for falls, which factor represents the greatest safety hazard?
- AWearing non-slip socks穿著防滑襪
- BTaking a daily multivitamin每日服用綜合維他命
- CA history of previous falls✓ 正解有既往跌倒病史
- DBeing age 65 or older年齡 65 歲或以上
— Explanation · 中文詳解 —
跌倒風險評估（Fall Risk Assessment）是臨床安全的核心指標。根據 Morse 跌倒評估量表（Morse Fall Scale），過往跌倒史是預測未來跌倒機率最強的單一獨立因子。護理師在進行病人入院評估時，必須優先識別此項高風險因素，並立即啟動預防性護理措施（如床欄警示、呼叫鈴觸手可及、防滑措施等）。其他選項如年齡或服用維他命雖與跌倒有關，但其預測力遠不如既往病史明確。
A history of previous falls is the single strongest independent predictor of future fall risk according to standard assessment tools like the Morse Fall Scale. While factors such as age are relevant, a prior fall history significantly elevates the immediate safety hazard. Nurses must prioritize identifying this factor to implement targeted preventive measures upon admission.