— 健康促進與維護 · MEDIUM · MCQ —
一位 15 歲個案對電子菸的同儕壓力感到困擾。幫助個案最好的方式是什麼？
A 15-year-old client is concerned about peer pressure regarding vaping. What is the best way to help the client?
- ATell them to find new friends who are 'good'告訴他們去找『好』的新朋友
- BProvide them with a list of the harmful chemicals in e-cigarettes提供電子菸中有害化學物質的清單
- CHelp them practice refusal skills through role-playing✓ 正解協助他們透過角色扮演練習拒絕技巧
- DIgnore the issue as it is just a phase忽略這個問題，因為這只是個階段
— Explanation · 中文詳解 —
面對青少年同儕壓力，最有效的方式是建立「拒絕技巧」（C），透過角色扮演增強個案的自信與反應能力。單純告訴他們換朋友（A）不切實際；提供清單（B）雖有幫助但僅是知識層面；忽略（D）會讓個案失去求助機會。
The most effective way to help an adolescent facing peer pressure is to build refusal skills (C), using role-play to strengthen confidence and responsiveness. Telling them simply to find new friends (A) is impractical; providing a list (B) helps but is only at the knowledge level; ignoring the issue (D) deprives the adolescent of the opportunity to seek help.
✦ 台美臨床差異
美國學校系統有完善的預防與拒絕技巧輔導；台灣則多需由家長或輔導老師介入，護理師衛教時需更強調人際互動技巧。