— 基本照護與舒適 · EASY · MCQ —
護理師協助老年病人進行個人衛生清潔。哪項措施最能促進病人的獨立性與安全性？
A nurse is assisting an elderly client with personal hygiene. Which action best promotes the client's independence and safety?
- AProvide a non-slip mat in the shower and encourage the client to wash their own upper body✓ 正解在淋浴間提供防滑墊，並鼓勵病人自行清洗上半身
- BComplete the entire bed bath for the client to save time and energy為節省時間與體力，為病人完成整個床浴
- CUse a heavy-duty soap to ensure all skin surfaces are thoroughly sanitized使用強效肥皂以確保所有皮膚表面徹底消毒
- DInstruct the client to remain in bed until the nurse returns to provide assistance指示病人在護理師回來提供協助前留在床上
— Explanation · 中文詳解 —
護理核心在於維持病人尊嚴與功能獨立。鼓勵病人完成力所能及的任務（如上身清潔）可維持肌肉張力與自主感，防滑墊則確保環境安全。完全替代服務會加速個體失能，過度清潔可能破壞皮膚屏障，限制活動則增加褥瘡風險。
Providing a non-slip mat and encouraging the client to wash their own upper body promotes independence and maintains muscle tone while ensuring safety. This approach supports the client's dignity and functional ability without compromising fall prevention or causing skin irritation from harsh soaps.
✦ 台美臨床差異
美國護理重視由 CNA 或 RN 促進功能性訓練；台灣病房常因人力限制，家屬或照服員會選擇全代勞。