— 照護管理 · MEDIUM · MCQ —
一位老年失智症病人出現意識混亂，護理師採取下列何項措施最符合病人安全？
An elderly client is experiencing confusion and has a history of dementia. Which action by the nurse demonstrates an understanding of patient safety?
- AAdministering a sedative to calm the client給予鎮靜劑以安撫病人
- BSecuring a vest restraint to keep the client in bed使用背心式約束帶使病人留在床上
- CPlacing the client in a room near the nurse's station✓ 正解將病人安置在護理站附近的房間
- DUsing four-side bed rails to prevent falling使用四側床欄以防止跌倒
— Explanation · 中文詳解 —
針對失智症且意識混亂的病人，安全照護的首要原則是「提供環境支持」而非「限制身體」。將病人安置於靠近護理站的房間，能讓護理師利用頻繁視察（frequent rounding）即時評估其狀態，降低跌倒與走失風險。約束（restraints）屬於侵入性措施，僅能在所有非約束性手段無效且安全疑慮極高時，經醫師評估後使用。
Placing a confused client with dementia in a room near the nurse's station facilitates frequent monitoring and rapid intervention, which is essential for ensuring safety. This environmental modification reduces the risk of falls and wandering while avoiding the use of restraints, which should only be considered as a last resort.