— 照護管理 · EASY · MCQ —
護理長正在為一位聽力受損的病人規劃護理計畫，下列哪項措施應納入？
A nurse manager is planning care for a client who is hearing impaired. Which action should the nurse include in the plan?
- AHave family members interpret all medical information讓家屬解釋所有醫療資訊
- BUse simple sentences and face the client while speaking✓ 正解使用簡單的句子並在說話時面對病人
- CProvide all instructions only in written format僅以書面形式提供所有指示
- DSpeak loudly and slowly directly into the patient's ear直接對著病人的耳朵大聲且緩慢地說話
— Explanation · 中文詳解 —
與聽力障礙病人溝通時，確保光源充足並面對病人，讓其能閱讀唇語。使用簡單句型與適當語速有助理解，大聲吼叫不僅無效反而會造成溝通壓迫感。僅提供書面資料忽略了雙向互動評估，委託家屬解釋則可能存在資訊傳遞偏差，專業護理應由醫護人員直接負責。
The nurse should face the client while speaking to allow for lip-reading and to utilize non-verbal cues effectively. Using simple sentences and maintaining eye contact enhances communication, whereas shouting distorts speech and relying solely on family members may lead to information bias.
✦ 台美臨床差異
美國法規強調手語翻譯與輔助溝通設備的使用；台灣臨床多以家屬溝通為主，需注意隱私權與告知同意責任。