— 健康促進與維護 · EASY · MCQ —
護理師對青少年群體進行藥物濫用衛教。請問哪種方式最有效？
A nurse is providing health education to a group of teens about substance abuse. What is the most effective approach?
- AProviding detailed scientific data on pharmacology提供詳細的藥理學科學數據
- BLecturing for an hour about the legal implications進行一小時關於法律影響的演講
- CUsing fear tactics to scare them about the consequences使用恐懼手段嚇阻他們了解後果
- DFocusing on the immediate social and physical benefits of saying no✓ 正解著重於說不所帶來的即時社交與身體益處
— Explanation · 中文詳解 —
青少年衛教的核心在於「發展心理學」。青少年正處於自我認同與同儕連結的關鍵時期，他們對權威式的威嚇（Fear tactics）通常會產生抗拒或忽視。將焦點轉移至「當下」的益處（如：提升社交表現、維持運動體能、省錢以購買喜歡的東西），能讓他們感覺到選擇權掌握在自己手中，而非被動接受教條。這種以目標導向（Goal-oriented）的策略，比強調遙遠的法律後果或單純的藥理知識更能引起共鳴，是 NCLEX 考試中關於青少年護理的重要觀念。
Syndrome of Inappropriate Antidiuretic Hormone (SIADH) causes excessive water retention leading to dilutional hyponatremia. Nursing interventions include restricting oral fluids to prevent overload, monitoring for hyponatremia signs, daily weighing to assess fluid balance, and encouraging a high-sodium diet. Isotonic saline boluses are avoided as they may worsen fluid retention.