— 基本照護與舒適 · MEDIUM · MCQ —
護理師協助一名失智症初期病人維持個人衛生的獨立性。下列哪項護理措施最適當？
A nurse is assisting a client with early-stage dementia to maintain independence in hygiene. Which action by the nurse is most appropriate?
- AProvide step-by-step instructions for each task✓ 正解提供每個任務的分步指示
- BComplete the task for the client to save time為節省時間由護理師完成任務
- CRemove all grooming items to prevent injury移除所有梳理用品以防受傷
- DInstruct the family to do all hygiene for the client指示家屬為病人完成所有衛生活動
— Explanation · 中文詳解 —
針對失智症（Dementia）病人，護理目標應著重於維護其殘餘功能與尊嚴。直接代勞雖然快速，但會剝奪病人自我照顧的機會，加速功能退化。提供分段且簡單的指令（Step-by-step instructions）能降低病人的認知負荷，協助其順利完成步驟，維持獨立性。移除所有物品會導致病人無法練習，而讓家屬代勞則是長期照護的消極作法，無法幫助病人維持功能。
Breaking tasks into simple, step-by-step instructions reduces cognitive overload for clients with early-stage dementia, thereby supporting their ability to perform activities of daily living independently. This approach preserves dignity and function, whereas completing tasks for the client or removing necessary items unnecessarily limits their independence.