— 基本照護與舒適 · MEDIUM · MCQ —
一位病人因醫院環境壓力出現失眠。下列哪項護理措施應優先執行？
A client is experiencing insomnia related to hospital environment stressors. Which nursing intervention should be prioritized?
- AEncourage daytime naps to make up for lost sleep鼓勵白天小睡以補償失去的睡眠
- BAdminister a PRN sleeping medication給予處方備用安眠藥物
- CKeep the room lights on to ensure safety保持房間燈光開啟以確保安全
- DCluster nursing activities to allow for longer periods of uninterrupted sleep✓ 正解集中護理活動以允許更長的無干擾睡眠時間
— Explanation · 中文詳解 —
住院病人的失眠常與頻繁的護理活動干擾有關。睡眠對病人的恢復至關重要，護理師應採用統合式護理（Clustering care），將測量生命徵象、給藥、更換點滴等程序集中在同一時段完成，以保留病人長段的不間斷睡眠時間。這是解決環境因素造成的睡眠障礙之首要非藥物策略，能有效提升病人的休息品質並調節晝夜節律。
Prioritize clustering nursing activities to allow for longer periods of uninterrupted sleep, which is essential for healing. This non-pharmacological strategy addresses insomnia caused by frequent hospital interruptions. Daytime naps disrupt circadian rhythms, and keeping lights on inhibits melatonin production. Medication should be reserved for cases where environmental modifications are insufficient.