# 將每位住院個案的需求拖曳至應優先諮詢的跨專業團隊成員。

> source: MyMerci (mymerci.kr)  
> url: https://mymerci.kr/pages/nclex_q.php?qn_id=393514&lang=zh-tw  
> language: zh-TW  
> subject: Collaboration with Multidisciplinary Team  
> category: MOC

## 題目

將每位住院個案的需求拖曳至應優先諮詢的跨專業團隊成員。

**1.** 新出現的單側無力已恢復，但個案出院前仍需步態與樓梯安全評估

Select a category
Pharmacist
Physical therapist
Speech-language pathologist
Social worker or case manager

**2.** 家屬必須學習安全的床到椅子轉位，以及助行器是否適合家中環境

Select a category
Pharmacist
Physical therapist
Speech-language pathologist
Social worker or case manager

**3.** 個案小口喝水後咳嗽且聲音濕潤

Select a category
Pharmacist
Physical therapist
Speech-language pathologist
Social worker or case manager

**4.** 中風後個案新出現表達需求與理解複雜指示的困難

Select a category
Pharmacist
Physical therapist
Speech-language pathologist
Social worker or case manager

**5.** 入院用藥清單包含兩位處方者開立的重複抗凝血劑

Select a category
Pharmacist
Physical therapist
Speech-language pathologist
Social worker or case manager

**6.** 個案無法說明如何安排新藥物與管灌餵食的時間

Select a category
Pharmacist
Physical therapist
Speech-language pathologist
Social worker or case manager

**7.** 個案無法負擔處方用品且沒有前往追蹤門診的交通工具

Select a category
Pharmacist
Physical therapist
Speech-language pathologist
Social worker or case manager

**8.** 照顧者表示住房不穩定且無法提供所需的每日傷口照護

Select a category
Pharmacist
Physical therapist
Speech-language pathologist
Social worker or case manager

## 解析

物理治療師評估行動能力、步態、轉位及設備需求。語言治療師評估吞嚥與溝通。藥師執行用藥整合並處理藥物交互作用或給藥障礙。社會工作師或個案管理師處理保險給付、交通、住房、照顧者資源及服務協調。

## 深入解析

快速解答
將需求配對至最具直接專長的專科：行動能力配對物理治療師、吞嚥配對語言治療師、藥物問題配對藥師、資源障礙配對社會工作師或個案管理師。

正確原因
合作不是推卸工作。RN 確認問題、啟動適當的會診、溝通相關發現，並追蹤建議是否已被執行。當臨床問題具體明確時，轉介最為有效。

NCLEX 決策規則
選擇其執照專業能解決主要障礙的團隊成員。優先處理緊急的生理惡化；會診不能取代立即的護理處置。參考資料
1NCSBN 2026 NCLEX-RN 測驗計畫照護管理：合作與轉介
2AHRQ TeamSTEPPS 交班工具

## 臨床情境

跨專業照護會議
RN 仍負責護理評估與後續追蹤。選擇其專業評估或介入最能直接解決各項需求的專科；當地轉介程序仍然適用。

## 重要概念

- **跨專業合作** — 各專業之間的協調工作，共享責任與資訊以達成個案的目標。
- **閉環式轉介** — 一種轉介方式，具有明確的問題、確認收到、完成評估，並溝通後續追蹤。
- **照護協調** — 有計畫地組織人員、資訊與服務，使個案的照護計畫能跨領域與跨場域執行。

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