— 照護管理 · EASY · MCQ —
一位護理師正在接收入院一位有跌倒病史的病人。哪項措施對預防跌倒最重要？
A nurse is admitting a client with a history of falls. Which intervention is most important for fall prevention?
- AImplement fall risk assessment and alert systems.✓ 正解實施跌倒風險評估與警示系統
- BKeep the bed in the lowest position.保持床鋪處於最低位置
- CEnsure the client wears non-skid footwear.確保病人穿著防滑鞋
- DPlace the client in a room close to the nurses' station.將病人安置在靠近護理站的房間
— Explanation · 中文詳解 —
預防跌倒（Fall Prevention）必須是系統性的。單一的環境調整（如放低床位）不足以保護所有病人，必須透過標準化的跌倒風險評估量表（如 Morse Fall Scale）來識別高風險病人，並針對其風險因素（如步態不穩、意識模糊、藥物副作用）啟動警示系統（如床欄警報、識別手環、跨專業團隊會診），才能有效降低跌倒發生率。
Effective fall prevention requires a systematic approach starting with a comprehensive risk assessment using standardized tools like the Morse Fall Scale. Identifying individual risk factors allows for targeted interventions such as alert systems and interdisciplinary consultations. Environmental adjustments alone are insufficient without this foundational assessment.