# 一位晚期心衰竭個案說：「我需要呼吸困難和疲倦的協助，但我也想繼續我的心衰竭治療。」護理師最適當的回應為何？

> source: MyMerci (mymerci.kr)  
> url: https://mymerci.kr/pages/nclex_q.php?qn_id=498693&lang=zh-tw  
> language: zh-TW  
> subject: Client Rights  
> category: MOC

## 題目

一位晚期心衰竭個案說：「我需要呼吸困難和疲倦的協助，但我也想繼續我的心衰竭治療。」護理師最適當的回應為何？

## 選項

1. 解釋症狀服務在疾病導向治療停止後才開始
2. 建議安寧療護，因為緩和療護需要預期存活期短
3. 延遲轉介，直到個案決定拒絕未來住院和急診治療
4. 在目前心衰竭治療持續下，提供緩和療護轉介 **✔ 正確答案**

**正確答案: 4**

## 解析

緩和療護可在嚴重疾病期間開始，並可與疾病導向治療同時進行。它支持症狀控制、照護協調及符合個案目標的照護；並非僅限於安寧療護或治療撤除。

## 深入解析

快速解答
在心衰竭治療持續下提供緩和療護。個案的目標符合同時進行症狀支持與疾病導向照護。

為什麼這是正確的
緩和療護專注於嚴重疾病者的生活品質、症狀緩解及協調。它可早期開始，且不要求個案停止旨在減緩或控制疾病的治療。

簡單比喻或心智圖像
緩和療護就像在主治療列車持續行駛時，加入一位專注於舒適的領航員。領航員不會取代心臟科團隊，且此類比不表示安寧療護與緩和療護有相同的資格規則。

記憶掛鉤
嚴重疾病加上症狀負擔，表示加入緩和支持；停止治療並非必要。

NCLEX 決策規則
當個案希望在持續疾病導向治療的同時獲得更好的症狀控制，應認知緩和療護與兩項目標相容。將其與安寧療護區分，後者有不同資格與治療期望。

為什麼其他選項是錯的
等到治療停止才提供支持會延誤適當的照護。緩和療護不要求預後短，且願意避免未來住院並非轉介的先決條件。參考文獻

- [1]NCSBN: 2026 NCLEX-RN Test PlanNational Council of State Boards of Nursing

- [2]NIA: What Are Palliative Care and Hospice Care?National Institute on Aging

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