— 健康促進與維護 · EASY · MCQ —
護理師評估病人的跌倒風險，何者為高風險指標？
A nurse is assessing a client's risk for falls. Which factor should the nurse identify as a high-risk indicator?
- AAge of 50 years50 歲
- BHistory of a previous fall✓ 正解曾有跌倒史
- CUse of reading glasses for close work使用老花眼鏡進行近距離工作
- DLiving with a spouse與配偶同住
— Explanation · 中文詳解 —
跌倒風險評估（Fall risk assessment）的指標中，過去的跌倒史（History of a previous fall）被公認為最具預測價值的指標。若病人曾跌倒，代表其平衡、步態或環境適應能力存在潛在缺陷。護理師在評估時應特別關注此類病人，並採取相應的預防措施，如床邊警報器、防滑襪及環境減災。
A history of previous falls is the single most significant predictor of future falls, making it a high-risk indicator that requires immediate attention. Other factors such as age 50, use of reading glasses, or living with a spouse are not considered primary risk factors for falls in this context.