— 基本照護與舒適 · EASY · MCQ —
一位患有早期失智症的病人拒絕沐浴。護理師應採取哪項介入措施來協助執行個人衛生？
A nurse is assisting a client with early-stage dementia to perform hygiene tasks. The client refuses to bathe. Which intervention should the nurse use?
- AAsk family members to forcefully bathe the client要求家屬強制為病人沐浴
- BAllow the client to choose between bathing in the morning or evening✓ 正解讓病人選擇在早晨或傍晚沐浴
- CWait until the client is asleep to bathe them等待病人入睡後再為其沐浴
- DInform the client that bathing is mandatory for health告知病人沐浴對健康是強制性的
— Explanation · 中文詳解 —
失智症（Dementia）病人常因認知功能障礙而對照護產生抗拒。照護的核心是維持病人的自主感與尊嚴。提供有限的選擇（如選擇時間）能轉移病人的注意力，將焦點從「是否沐浴」轉移到「何時沐浴」，從而減少焦慮與攻擊性行為。強迫執行只會加劇病人的戰鬥或逃跑反應（Fight-or-Flight Response）。
Providing limited choices, such as selecting bathing time, helps preserve the client’s autonomy and dignity while reducing agitation. This strategy shifts the focus from whether to bathe to when to bathe, thereby decreasing anxiety and resistance common in early-stage dementia.