— 健康促進與維護 · MEDIUM · MCQ —
在 70 歲老人的健康檢查中，下列哪項評估為優先事項？
Which of the following assessments is a priority for a 70-year-old client during a wellness visit?
- ASkin turgor assessment皮膚彈性評估
- BCognitive and mood screening認知與情緒篩檢
- CVisual acuity and hearing✓ 正解視力與聽力
- DBlood pressure and heart rate血壓與心跳
— Explanation · 中文詳解 —
對於 70 歲長者，感官功能的退化（視力與聽力）是影響生活品質、安全與獨立性的關鍵因素。視聽力障礙不僅導致溝通困難，更是老年人跌倒（falls）的主要危險因子。在健康檢查（wellness visit）中，護理師應優先評估這些可能影響病人日常生活活動（ADLs）與社交參與的功能性需求。雖然血壓、認知與皮膚狀況同樣重要，但感官篩檢是預防功能性衰退的優先基石。
Sensory impairments, particularly vision and hearing loss, are significant contributors to fall risk and cognitive decline in older adults. Prioritizing these assessments during a wellness visit helps identify functional deficits that could compromise safety and independence. While other assessments are important, addressing sensory deficits is crucial for preventing adverse outcomes like falls.