— 基本照護與舒適 · HARD · MCQ —
病人對於戒菸處於行為改變的「沉思期」。護理師最好的反應是什麼？
A client is in the 'Contemplation' stage of behavioral change regarding smoking cessation. What is the best nursing response?
- ADiscuss the pros and cons of quitting✓ 正解討論戒菸的利弊
- BTell them they must quit immediately告訴他們必須立即戒菸
- CIgnore the topic until they bring it up忽略此話題直到他們主動提起
- DGive them a list of local support groups提供當地支持團體的名單
— Explanation · 中文詳解 —
沉思期（Contemplation）特徵是病人開始考慮改變，但猶豫不決。護理師應引導病人權衡利弊（Pros and Cons），幫助其釐清動機與障礙。強迫立即戒菸會招致反感；提供支持團體資訊則適合下一階段（準備期）；忽視則會錯失介入契機。
The Contemplation stage is characterized by the client considering change but feeling ambivalent. The nurse should help the client weigh the pros and cons, clarifying motivation and barriers. Forcing immediate cessation invites resistance; providing support group lists is more appropriate for the Preparation stage; ignoring the issue misses the opportunity to intervene.
✦ 台美臨床差異
美國護理重視動機訪談（Motivational Interviewing），台灣正積極發展此技術，但在臨床常因人力與時間限制而簡化。