— 健康促進與維護 · MEDIUM · MCQ —
護理師諮詢一位想戒菸的客戶。下列哪種方式最有效？
A nurse is counseling a client who wants to stop smoking. Which of the following is the most effective approach for the nurse to take?
- ASchedule a follow-up appointment for next month預約下個月的回診
- BProvide the client with a list of nicotine patches提供尼古丁貼片清單給客戶
- CAsk the client about their readiness to change✓ 正解詢問客戶對改變的準備程度
- DTell the client about the health risks of smoking告知客戶吸菸的健康風險
— Explanation · 中文詳解 —
根據跨理論模型（Transtheoretical Model），評估客戶的「改變準備度」是促成戒菸成功的第一步。只有了解客戶目前處於哪個階段（如：沈思期或準備期），才能給予適當的動機面談或介入，而非強行推銷醫療輔助工具或單方面灌輸知識。
According to the Transtheoretical Model, assessing the client's readiness to change is the first step toward successful smoking cessation. Only by understanding the client's current stage (such as contemplation or preparation) can the nurse provide appropriate motivational interviewing or interventions, rather than aggressively promoting medical aids or unilaterally imparting information.
✦ 台美臨床差異
美國戒菸服務常結合個案管理與醫療輔助，台灣則多透過門診戒菸治療服務來推動。