— 健康促進與維護 · HARD · MCQ —
一位 30 歲客戶詢問 HPV 疫苗的接種時程。護理師的哪項說明是正確的？
A 30-year-old client asks about the recommended schedule for the human papillomavirus (HPV) vaccine. Which response by the nurse is accurate?
- AThe vaccine provides protection against all types of HPV.該疫苗可提供針對所有類型 HPV 的保護
- BThe vaccine replaces the need for routine Pap smears.該疫苗取代了常規子宫颈抹片檢查的需求
- CThe vaccine is only effective if given before the age of 12.該疫苗僅在 12 歲之前接種才有效
- DThe vaccine is given in a 3-dose series over 6 months.✓ 正解該疫苗需在 6 個月內分三劑接種
— Explanation · 中文詳解 —
對於 15 歲及以上才開始接種 HPV 疫苗的族群，標準時程為三劑疫苗（分別在 0、2、6 個月接種）。雖然在 9-14 歲接種只需兩劑，但針對成年人，三劑式仍是標準。HPV 疫苗不能取代抹片檢查，且無法預防所有類型的 HPV，故抹片篩檢仍需持續進行。
Therapeutic communication centers on the client and involves using open-ended questions to encourage expression, utilizing silence to allow reflection, and validating feelings to build trust. Nurses should avoid providing personal opinions or interrupting the client, as these behaviors hinder the therapeutic process and client autonomy.
✦ 台美臨床差異
台灣目前針對國中女生有公費接種，成年人則需自費，兩地臨床建議均趨於一致。