— 健康促進與維護 · MEDIUM · MCQ —
針對健康素養較低的個案進行衛教時，護理師應採取哪項行動？
Which action should the nurse take when providing teaching to a client with limited health literacy?
- AProvide a complex written brochure with medical jargon提供含有醫學術語的複雜宣傳單
- BAsk the client to sign a document they cannot read要求個案簽署其無法閱讀的文件
- CAssume the client understands if they nod their head若個案點頭就假設其已理解
- DUse the 'teach-back' method to confirm understanding✓ 正解使用「回授法」確認理解程度
— Explanation · 中文詳解 —
對於健康素養較低者，「回覆教學法（teach-back method）」是檢核理解程度的黃金標準，確保個案確實聽懂。其他選項錯誤：術語會增加理解難度；點頭可能只是禮貌；無法理解內容簽字不符合知情同意倫理。
The teach-back method is the most effective strategy for verifying understanding in clients with limited health literacy, as it requires them to explain information in their own words. Relying on nods or signing documents without comprehension fails to ensure safe care and violates ethical standards for informed consent. Using plain language and avoiding medical jargon further supports effective communication.
✦ 台美臨床差異
美國非常強調 Culturally and Linguistically Appropriate Services (CLAS) 指引，台灣則依賴護理師的口頭解釋能力。