— 健康促進與維護 · MEDIUM · MCQ —
護理師評估一名 75 歲病人的跌倒風險。下列哪項因素應被視為優先介入的重點？
A nurse is assessing a 75-year-old client for fall risk. Which factor should the nurse identify as the highest priority for intervention?
- APoor lighting in the home家中燈光不足
- BWearing bifocal glasses佩戴雙光眼鏡
- CHistory of a previous fall✓ 正解曾有跌倒病史
- DReduced muscle strength in lower extremities下肢肌力減弱
— Explanation · 中文詳解 —
在跌倒風險評估（Fall Risk Assessment）中，『過去跌倒病史（History of a previous fall）』是公認最強的預測因子。這代表病人的平衡感、步態、認知功能或環境適應力已存在問題。護理計畫必須針對此高風險群體制定更為密集的監測與防護措施，例如頻繁巡視或增加輔具使用。
A history of previous falls is the strongest predictor of future falls, making it the highest priority factor for intervention. This history suggests underlying issues with balance, gait, or cognition that require targeted safety measures.