# 護理師為社區居住長者執行CDC STEADI跌倒預防計畫。哪些介入為跌倒預防之實證組成？請選擇所有適用項目。

> source: MyMerci (mymerci.kr)  
> url: https://mymerci.kr/pages/nclex_q.php?qn_id=374875&lang=zh-tw  
> language: zh-TW  
> subject: Reduction of Risk Potential  
> category: ROR

## 題目

護理師為社區居住長者執行CDC STEADI跌倒預防計畫。哪些介入為跌倒預防之實證組成？請選擇所有適用項目。

1

建議社區運動計畫，強調平衡與肌力訓練(如太極或otago)。

2

可行下檢視並減少高風險用藥(benzo、抗膽鹼藥、助眠藥、引起姿勢性低血壓之降壓藥)。

3

不鼓勵安裝扶手和增強照明，因為這些改裝可能會使老年人感到困惑並增加定向障礙。

4

評估維生素D狀態，若缺乏則補充，並最適化視力與鞋具。

5

以Timed Up and Go(TUG)測驗作為快速功能篩檢；> 12秒提示跌倒風險增加，需進一步評估。

## 解析

STEADI跌倒預防組合：TUG(> 12秒=風險增加)、檢視並減少高風險用藥、實證之平衡/肌力運動(太極拳跌倒下降20-30%)、若缺乏補充維生素D、最適化視力/鞋具、居家安全評估。選項4錯誤 — 居家改造(扶手、照明、移除地毯、加高馬桶)為STEADI核心介入；可降低跌倒而非增加混亂。

## 深入解析

STEADI為NCLEX最可能出現之CDC架構。記憶：SCREEN(TUG、詢問跌倒史)、ASSESS(步態、用藥、視力、姿勢性血壓、維生素D、居家)、INTERVENE(減藥、運動、補充、居家改造、PT轉介)。「居家改造使長者混亂」陷阱於各面向皆錯。

## 臨床情境

**72歲門診健檢**；近期無跌倒但步態不穩。診所使用**CDC STEADI**(Stopping Elderly Accidents, Deaths and Injuries)工具進行跌倒預防。

## 重要概念

- **STEADI** — 社區居住長者跌倒預防之CDC計畫 — Screen、Assess、Intervene。
- **Timed Up and Go(TUG)** — 病人自椅子站起、走3 m、轉身、回程坐下；> 12秒提示跌倒風險。
- **高跌倒風險用藥** — Benzodiazepine、抗膽鹼藥、鎮靜抗組織胺、部分抗精神病藥、多重用藥、引起姿勢性低血壓之降壓藥。

## 相同主題題目

- [A 52-year-old patient is admitted with severe acute pancreatitis. Lipase is 1,800 U/L and …](https://mymerci.kr/pages/nclex_q.php?qn_id=372851&lang=zh-tw)
- [A 68-year-old is admitted for acute uncomplicated diverticulitis with WBC 16,000/uL and pe…](https://mymerci.kr/pages/nclex_q.php?qn_id=372855&lang=zh-tw)
- [A patient with end-stage renal disease is post-op day 1 from a left forearm arteriovenous …](https://mymerci.kr/pages/nclex_q.php?qn_id=373261&lang=zh-tw)
- [A 72-year-old presents to the ED with sudden right-sided weakness and aphasia. Family stat…](https://mymerci.kr/pages/nclex_q.php?qn_id=373516&lang=zh-tw)
- [A 65-year-old is post-op day 1 from a hip arthroplasty. Which nursing action best supports…](https://mymerci.kr/pages/nclex_q.php?qn_id=373882&lang=zh-tw)
- [A patient on day 7 of heparin therapy has a platelet count drop from 220,000 to 80,000 ove…](https://mymerci.kr/pages/nclex_q.php?qn_id=374929&lang=zh-tw)
- [An 18-year-old with sickle cell disease arrives in vaso-occlusive crisis with severe back …](https://mymerci.kr/pages/nclex_q.php?qn_id=374972&lang=zh-tw)
- [A client receiving induction chemotherapy for high-tumor-burden Burkitt lymphoma has labs …](https://mymerci.kr/pages/nclex_q.php?qn_id=374986&lang=zh-tw)

## 以其他語言閱讀

- [en](https://mymerci.kr/pages/nclex_q.php?qn_id=374875&lang=en)
- [ko](https://mymerci.kr/pages/nclex_q.php?qn_id=374875&lang=ko)
- [ja](https://mymerci.kr/pages/nclex_q.php?qn_id=374875&lang=ja)
- [zh-TW](https://mymerci.kr/pages/nclex_q.php?qn_id=374875&lang=zh-tw)
- [vi](https://mymerci.kr/pages/nclex_q.php?qn_id=374875&lang=vi)

---

More free questions: [NCLEX-RN 題庫](https://mymerci.kr/pages/nclex_bank.php?lang=zh-tw)

_僅供學習參考。實際臨床請遵循最新指引與所屬機構規範。_