— 基本照護與舒適 · HARD · MCQ —
護理師照護一位意識混亂的高齡病人。管理其混亂狀態的最佳策略為何？
A nurse is caring for an older client who is confused. What is the best strategy to manage the client's confusion?
- AChange the staff assigned to the patient daily每天更換負責照顧該病人的護理人員
- BProvide a structured, consistent environment and daily routine✓ 正解提供結構化、一致的環境與每日作息
- CUse bright, flashing lights to keep the patient alert使用明亮、閃爍的燈光以保持病人清醒
- DConstrain the client to the bed to prevent wandering約束病人於床上以防止遊走
— Explanation · 中文詳解 —
針對意識混亂（如譫妄 Delirium 或失智症 Dementia）的高齡病人，護理照護的核心目標是提供一個安全、可預測的環境。結構化（Structured）的日常作息能增強病人的定向感（Orientation），減輕因環境陌生或資訊過載引發的恐懼與焦慮。護理師應優先採用非藥物介入，包括減少環境刺激、維持晝夜節律及提供一致性的照顧人員，這些措施能有效穩定病人情緒並預防行為問題。
Providing a structured, consistent environment and daily routine helps ground confused clients by enhancing orientation and reducing anxiety. This approach minimizes sensory overload and promotes a sense of safety, which is essential for managing confusion in older adults.