— 健康促進與維護 · HARD · MCQ —
護理師輔導一位想戒菸的個案。下列哪項敘述最能反映「變革階段理論」中，處於沈思階段（Contemplation）個案的需求？
A nurse is counseling a client who wants to quit smoking. Which statement by the nurse best reflects the 'stages of change' model for a client in the contemplation stage?
- AHere is a pamphlet on nicotine replacement patches這裡有一份關於尼古丁貼片的宣傳單
- BYou have already quit for 2 days, let's talk about maintenance你已經戒菸兩天了，我們來談談維持期吧
- CI will schedule your first support group meeting我會為你安排第一次的支持團體會議
- DLet's list the benefits and barriers to quitting smoking today✓ 正解讓我們列出今天戒菸的好處和障礙
— Explanation · 中文詳解 —
處於「沈思階段」（Contemplation）的個案已意識到問題，但對於行動仍猶豫不決，權衡改變的利弊（Decisional Balance）是此階段最合適的護理介入。A 屬於準備階段，B 屬於維持階段，C 屬於行動階段。
A client in the contemplation stage has recognized the problem but remains ambivalent about taking action; weighing the pros and cons of change (decisional balance) is the most appropriate nursing intervention at this stage. B applies to the preparation stage, B to the maintenance stage, and C to the action stage.
✦ 台美臨床差異
美國醫護人員常使用 Motivational Interviewing；台灣則較強調醫師直接給予建議，護理師較少有專門的時間進行此類心理諮商。