護理師為中年成人規劃健康促進計畫。哪些主題最相關？（選所有適合的）
A nurse is planning a health promotion session for middle-aged adults. Which topics are most relevant? (Select all that apply.)
- AScreening for metabolic syndrome✓ 正解代謝症候群篩檢
- BStress management techniques✓ 正解壓力管理技巧
- CEarly detection of age-related cognitive decline✓ 正解年齡相關認知衰退的早期偵測
- DHormone replacement therapy for all所有人皆使用荷爾蒙替代療法
- EMaintenance of cardiovascular health✓ 正解心血管健康的維持
中年成人（Middle-aged adults）的健康促進核心在於慢性病預防與早期發現。代謝症候群、心血管疾病及認知功能的衰退是此階段常見的威脅。護理師應評估個案的生活型態，提供預防性篩檢與壓力因應策略。D 選項錯誤，荷爾蒙補充治療（HRT）具有風險（如血栓、乳癌），僅在特定適應症下由醫師評估後使用，絕非「每個人」皆適用。
Health promotion for middle-aged adults centers on chronic disease prevention and early detection. Metabolic syndrome, cardiovascular disease, and cognitive decline are common threats at this stage. The nurse should assess each client's lifestyle and provide preventive screening and stress-coping strategies. Option D is incorrect: hormone replacement therapy (HRT) has risks (such as thrombosis and breast cancer) and is used only when specific indications are present after physician evaluation; it is not appropriate for everyone.
美國醫學界對於 HRT 的適應症與風險評估極為嚴謹，常參考北美更年期學會（NAMS）準則。台灣臨床亦遵循類似準則，但在衛教推廣上，台灣護理師需特別針對補充品與中草藥合併使用的安全性進行評估。