— 基本照護與舒適 · MEDIUM · MCQ —
護理師協助一位「活動耐受力不良」的病人。下列哪項護理目標最恰當？
A nurse is assisting a client with 'Activity Intolerance'. Which is the most appropriate nursing goal?
- AThe client will stop all activity if they feel tired若感到疲倦則停止所有活動
- BThe client will be able to run a mile by discharge出院時能跑一英里
- CThe client will gradually increase activity as tolerated✓ 正解在耐受範圍內逐漸增加活動量
- DThe client will remain in bed to conserve energy留在床上以保存體力
— Explanation · 中文詳解 —
針對活動耐受力不良，目標在於循序漸進增加功能。完全臥床會導致廢用，完全停止活動則無法改善病況。目標應具備現實性（Realistic）與漸進性（Gradual），讓病人能在監測生理反應下提升身體耐受度。
The most appropriate goal for a client with activity intolerance is to gradually increase activity levels as tolerated to promote functional recovery. Complete bed rest leads to deconditioning, while stopping all activity prevents improvement. Goals should be realistic and progressive, allowing the client to build endurance safely under monitoring.
✦ 台美臨床差異
美國護理規劃強調 SMART 原則（具體、可測量），台灣則較多依據醫囑執行，護理師自主設定目標的空間略小。