— 健康促進與維護 · MEDIUM · MCQ —
護理師評估一位未接受常規疫苗的兒童。哪項行動優先？
A nurse is assessing a child who has not received routine vaccinations. Which action is the priority?
- AMandate vaccination against the parent's will強迫家長同意接種疫苗
- BAssess the parent's reasons for vaccine refusal✓ 正解評估家長拒絕疫苗的原因
- CCriticize the parents for their decision批評父母的決定
- DReport the parents to child protective services immediately立即向兒童保護服務機構舉報父母
— Explanation · 中文詳解 —
針對疫苗猶豫（Vaccine hesitancy）的處理，護理師應扮演教育者與倡導者的角色。首要任務是運用治療性溝通（Therapeutic communication）了解家長的憂慮來源（如宗教、文化或對副作用的誤解），以建立信任關係。在 NCLEX 的臨床情境中，強制手段或情緒化反應均違背護理專業倫理。
When addressing vaccine hesitancy, the nurse's priority is to use therapeutic communication to assess the parents' specific concerns and reasons for refusal. This approach builds trust and allows for targeted education, whereas judgmental attitudes or immediate reporting are inappropriate without further assessment.
✦ 台美臨床差異
在美國，疫苗猶豫的衛教非常強調『決策共享（Shared Decision Making）』。護理師通常會提供 CDC 的資訊單張（VIS, Vaccine Information Statement），此為法律規定必須提供的文件，與台灣臨床較依賴醫師權威解釋有所不同。