— 健康促進與維護 · HARD · MCQ —
護理師為酒精使用障礙的病人規劃出院計畫，下列何者最合適？
A nurse is preparing a discharge plan for a client with a history of alcohol use disorder. Which intervention is most appropriate?
- AAdvise the client to keep alcohol at home just in case建議病人在家中備置酒精以防萬一
- BSuggest the client cut down drinking gradually on their own建議病人自行逐漸減少飲酒量
- CTell the client that willpower is the only way to succeed告訴病人意志力是唯一成功的方法
- DRefer the client to a local support group such as AA✓ 正解轉介病人至當地支持團體，如匿名戒酒會（AA）
— Explanation · 中文詳解 —
酒精使用障礙屬於慢性病，需長期的社會支持系統介入（如 AA 會議）。自行減量（B）往往失敗。家中放置酒精（A）是極高誘發因子。意志力（C）不足以克服成癮的生理依賴與心理需求，需配合專業醫療與團體支持。
Alcohol use disorder is a chronic illness that requires long-term social support, such as Alcoholics Anonymous meetings. Cutting down on one's own (B) often fails. Keeping alcohol at home (A) is a major trigger. Willpower (C) alone is insufficient to overcome the physiological dependence and psychological needs of addiction; professional medical care and group support are required.
✦ 台美臨床差異
美國 AA 系統非常成熟且普及，台灣則以醫院成癮防治中心與心理諮商為主，社區系統連結仍在發展中。