一位外科護理師使用 SBAR 溝通架構向值班醫師報告一名病患狀況的危急改變。下列哪項具體陳述正確地隸屬於 SBAR 交接中的『評估 (Assessment)』區段？
A surgical nurse uses the SBAR communication framework to report a critical change in a client's status to the on-call physician. Which specific statement belongs correctly in the 'Assessment' portion of the SBAR handover?
- A“Could you please come evaluate the client right now and order an immediate 12-lead ECG?”「能否拜託您現在來評估這位病人並開立立即進行 12 導程心電圖的醫囑？」
- B“I think he is experiencing a massive acute myocardial infarction and requires immediate attention.”✓ 正解「我認為他正經歷大面積急性心肌梗塞，需要立即處置。」
- C“The client is a 65-year-old male admitted yesterday for an elective prostatectomy.”「這位病人是 65 歲男性，昨天因擇期前列腺切除術入院。」
- D“I am calling because the client has suddenly developed severe chest pain radiating to his jaw.”「我打電話是因為病人突然出現嚴重胸痛，並輻射至下巴。」
本題測驗專業團隊間溝通工具 SBAR (Situation, Background, Assessment, Recommendation) 的精確定義。SBAR 是美國醫療安全要求。S (情況 Situation)：明確陳述當下發生了什麼事（例如選項 D的「我打來是因為他突然胸痛」）。B (背景 Background)：提供病患的基礎歷史與相關診斷（例如選項 C的「他是 65 歲昨天來開護腺手術的病患」）。A (評估 Assessment)：護理師透過專業判斷，表達自己認為問題的核心是什麼（例如選項 B的「我認為他正在發生急性心肌梗塞」），這是專業的假說或數據總結。R (建議 Recommendation)：護理師向醫師提出具體的處置建議或要求（例如選項 A的「請你現在來看看他並開立 12 導程心電圖醫囑」）。因此，表達專業分析看法的選項 B 完美符合 Assessment 階段。
In the SBAR communication framework, the Assessment component involves the nurse's professional clinical judgment or interpretation of the patient's current status. Stating a suspected diagnosis, such as believing the client is experiencing an acute myocardial infarction, reflects this analytical step. This differs from Situation (the immediate problem), Background (patient history), and Recommendation (requested actions).
由於 Joint Commission 的推廣，SBAR 在台美都是標準交班規範。國考極愛考哪句話屬於哪個英文字母。Assessment 不只是生理數據，更包含護士的「專業猜測/臨床判斷」。