— 健康促進與維護 · MEDIUM · MCQ —
護理師評估病人對皮膚癌預防的理解。病人哪句話表示需要進一步指導？
A nurse is evaluating a client's understanding of skin cancer prevention. Which statement by the client indicates that further teaching is needed?
- AI will perform a self-skin exam once a month我將每月進行一次自我皮膚檢查
- BUsing a tanning bed is safer than direct sun exposure✓ 正解使用美黑床比直接暴露在陽光下更安全
- CI will avoid the sun during peak hours between 10 AM and 4 PM我將在上午 10 點至下午 4 點的尖峰時段避免暴露在陽光下
- DI will wear sunscreen with at least SPF 30 every day我每天都會使用至少 SPF 30 的防曬乳
— Explanation · 中文詳解 —
這題考查對皮膚癌致病因的認知。使用人工日光浴床（tanning bed）會釋放高劑量的紫外線（UVA/UVB），其致癌風險與陽光曝曬一樣高，甚至更高。病人認為人工日光浴較安全是錯誤觀念，需要護理師糾正。
Tanning beds emit intense ultraviolet radiation that is carcinogenic and poses a risk equal to or greater than direct sun exposure. A client believing that tanning beds are safer than sunlight demonstrates a misconception that requires further teaching regarding skin cancer prevention.
✦ 台美臨床差異
美國皮膚癌發生率極高，衛教較深入；台灣民眾對美白防曬重視，但對日光浴床危害的警覺性較低。