— 心理社會完整性 · MEDIUM · SATA —
護理師衛教阿茲海默症病人的家屬關於如何處理「日落症候群」。應建議哪些策略？（選所有適合的）
A nurse is educating a family member of a client with Alzheimer's disease on managing 'sundowning'. Which strategies should the nurse suggest? (Select all that apply.)
- AKeep the house well-lit in the evening✓ 正解傍晚時分保持室內照明充足
- BEncourage daytime physical activity✓ 正解鼓勵白天進行身體活動
- CLimit caffeine consumption in the afternoon✓ 正解限制下午攝取咖啡因
- DProvide complex tasks for the client to solve提供複雜任務讓個案解決
- EMaintain a consistent daily routine✓ 正解維持一致的每日作息
— Explanation · 中文詳解 —
日落症候群是指阿茲海默症患者在傍晚出現混亂、焦慮及行為異常。處理策略包含：增加室內照明（減少視覺幻影）、白天多運動（增加夜間疲勞度）、限制午後咖啡因（促進睡眠）、維持規律作息（減少認知混亂）。D 選項錯誤：複雜任務會增加個案壓力與挫折感，應避免。
Managing sundowning in Alzheimer’s disease involves maintaining a consistent daily routine, providing adequate lighting in the evening, encouraging daytime activity, and limiting afternoon caffeine. These strategies help regulate the sleep-wake cycle and reduce confusion and agitation.
✦ 台美臨床差異
台灣因多由家屬居家照顧，較難維持結構化作息，美國則有完善的日間照護中心提供此類訓練。