— 安全與感染控制 · HARD · MCQ —
護理師教導病人如何在疫情期間預防感染散播，病人的哪項陳述需要進一步釐清？
A nurse is educating a client about preventing the spread of infection during a pandemic. Which statement by the client requires further clarification?
- AI will wear a mask in crowded public spaces.我會在擁擠的公共場所佩戴口罩
- BI will maintain physical distancing from others.我會與他人保持社交距離
- CI can rely solely on my immune system to protect me.✓ 正解我可以完全依賴我的免疫系統來保護自己
- DI will practice frequent hand hygiene.我會經常進行手部衛生清潔
— Explanation · 中文詳解 —
在大流行（pandemic）期間，感染控制的核心在於阻斷傳播鏈。雖然免疫系統是人體對抗病原體的基礎防禦，但面對強大的傳染性病毒，單純依賴免疫系統極易導致感染風險增加，甚至造成社區大規模擴散。有效的公共衛生防禦策略必須包含多層防護（Swiss Cheese Model），如手部衛生、物理隔離與個人防護裝備（PPE）。護理師教育的重點在於讓病人了解個人行為對公共衛生的貢獻，強調『預防勝於治療』，僅依賴免疫系統的說法忽視了病原體傳播的動力學，因此需要進一步衛教。
Relying solely on the immune system is insufficient for preventing infection during a pandemic, as it ignores the critical role of public health measures like masking, distancing, and hygiene. Effective prevention requires a multi-layered approach to interrupt the chain of transmission and protect both the individual and the community.