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護理師於健檢中對15歲執行HEEADSSS心理社會評估。家長剛離開房間。哪些行動反映青少年適合之保密實務？請選擇所有適用項目。

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1 Explain the limits of confidentiality at the START of the conversation: information stays private EXCEPT in cases of imminent harm to self or others, or active abuse situations. 於對話「開始時」即說明保密之限制：除自我/他人迫近傷害或現行虐待情境外，資訊將保密。 2 If the adolescent reports active suicidal ideation with plan, disclose to the parent and provider, document, and arrange immediate safety evaluation — confidentiality limits apply. 若青少年陳述具計畫之活動性自殺念頭，即告知家長與醫師、紀錄並立即安排安全評估 — 適用保密例外。 3 Most U.S. states allow minors to consent confidentially to STI testing/treatment, contraception, mental health, and substance use treatment WITHOUT parental notification. 美國多數州允許未成年人在不通知父母情況下對STI檢測/治療、避孕、心理衛生、物質使用治療進行保密同意。 4 Use the HEEADSSS framework to systematically screen risk areas; start with less sensitive topics and progress to more sensitive ones. 使用HEEADSSS架構系統性篩檢風險領域；由較不敏感主題開始，逐步進入較敏感主題。 5 After the HEEADSSS assessment, inform the parent about any risky behaviors disclosed because the parent is legally responsible for the adolescent's well-being and medical consent. 在進行HEEADSSS評估後，應告知家長青少年所透露的任何危險行為，因為家長對青少年的福祉與醫療同意負有法律責任。

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