— 基本照護與舒適 · MEDIUM · MCQ —
護理師評估病人的跌倒風險，下列哪項因素是老年人跌倒風險最高者？
A nurse is evaluating a client's risk for falls. Which factor should the nurse identify as the highest risk for an elderly client?
- AHistory of a previous fall✓ 正解曾有跌倒病史
- BPolypharmacy (taking 4+ medications)多重用藥（服用4種以上藥物）
- CReduced visual acuity視力減退
- DUsing a bedside commode使用床邊便盆
— Explanation · 中文詳解 —
跌倒風險評估在老年護理中至關重要。根據實證醫學與臨床風險評估工具（如 Morse Fall Scale），「跌倒病史」是預測未來跌倒機率最強大的單一指標。曾有跌倒經驗的病人，通常代表其生理機能（如步態、平衡感、肌力）已存在潛在缺陷，或對環境危險因素的反應能力較差，因此其再次跌倒的風險顯著高於無跌倒病史者。
Identify a history of previous falls as the highest risk factor for future falls in elderly clients. Past falls are the strongest predictor of recurrence, indicating potential underlying issues with balance, gait, or environmental awareness that require immediate attention.