護理師評估個案對老年人疫苗接種建議的理解。下列哪項敘述顯示需要進一步衛教？
A nurse is evaluating a client's understanding of vaccination recommendations for older adults. Which statement indicates the need for further education?
- AI don't need a Tdap booster because I had one as a child.✓ 正解我不需要施打 Tdap 加強劑，因為我小時候打過了
- BI should get a flu shot every year.我應該每年施打流感疫苗
- CThe pneumococcal vaccine is recommended for people over 65.65 歲以上的人建議接種肺炎鏈球菌疫苗
- DShingles vaccine is recommended for older adults to prevent complications.建議老年人接種帶狀疱疹疫苗以預防併發症
此題核心為評估老年人預防接種的衛教知識。Tdap 疫苗（百日咳、白喉、破傷風混合疫苗）並非終身免疫，隨著年齡增長，抗體效價會下降，成人仍需定期接種以預防百日咳感染與傳播。選項 A 誤以為兒時接種過即可終身免疫，這顯示病人對成人免疫時程缺乏正確認知，需要進一步衛教。其他選項均符合 CDC 對老年人的常規建議。
This question evaluates knowledge of immunization recommendations for older adults. The Tdap vaccine (combined pertussis, diphtheria, and tetanus vaccine) does not provide lifelong immunity; antibody titers decrease over time, and adults still require periodic boosters to prevent pertussis infection and transmission. Option A mistakenly assumes childhood vaccination confers lifelong immunity, indicating that the client lacks correct understanding of the adult immunization schedule and requires further teaching. The other options are consistent with CDC's routine recommendations for older adults.
美國 CDC 對成人疫苗接種有明確的時程與建議，且許多藥局（Pharmacy）提供疫苗服務，護理師衛教時常需提醒病人前往診所或藥局施打。台灣健保對於疫苗接種的給付範圍與時程建議與美國略有不同，赴美執業需特別注意 CDC 對於 65 歲以上族群的最新疫苗指引。