— 基本照護與舒適 · MEDIUM · SATA —
護理師處理一位感覺過載的病人環境。下列哪些措施是適當的？（選所有適合的）
A nurse is managing the environment for a client with sensory overload. Which actions should the nurse take? (Select all that apply.)
- ADim the lights in the room✓ 正解調暗房間燈光
- BLimit the number of visitors at one time✓ 正解限制同時探視的人數
- CCluster nursing care tasks✓ 正解集中安排護理工作
- DPlay loud music to distract the client播放大聲音樂以分散病人注意力
- ESchedule appointments and tests close together緊密安排門診與檢查
— Explanation · 中文詳解 —
感覺過載處理原則為「減少刺激」。燈光調暗、限制訪客數、集中護理活動（Cluster care）能讓病人有足夠時間休息。播放音樂需視情況，過大聲反而增加刺激；檢查與會診應間隔適當時間，過度密集會加重疲勞。
To manage sensory overload, the nurse should reduce environmental stimuli by dimming lights, limiting the number of visitors, and clustering nursing care tasks. These interventions minimize noise and activity, allowing the client adequate time for rest and uninterrupted sleep.
✦ 台美臨床差異
美國對「安靜環境」的執行層面更廣，台灣醫院病房常因照護需求繁雜，很難做到完全的集中護理。