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檢視青少年戒電子煙追蹤時間表，並判斷哪些護理回應最能支持持續降低風險。

Trend

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Time	Data
Week 0	The adolescent vapes nicotine throughout each day, reports strong morning cravings, and chooses a quit date. The nurse reviews triggers and confidential support options.青少年每天全天使用尼古丁電子煙，報告早晨有強烈渴求感，並選擇戒菸日期。護理師檢視觸發因素及保密支持選項。
Week 1	Use has decreased. Irritability and cravings occur after school. The adolescent enrolls in a youth text-support program and removes spare devices.使用量已減少。放學後出現易怒與渴求感。青少年加入青少年簡訊支持計畫，並移除備用裝置。
Week 4	The adolescent reports one lapse after an argument, identifies the trigger, contacts a quit coach, and resumes the plan. No cigarette use is reported.青少年報告在一次爭吵後復吸一次，辨識出觸發因素，聯繫戒菸教練，並恢復計畫。未報告使用香菸。

Q1. How should the nurse interpret the four-week trend?護理師應如何解讀四週趨勢？

Progress with expected withdrawal and a lapse that can guide relapse-prevention planning有進展，伴隨預期中的戒斷症狀及一次可引導復發預防規劃的復吸 Failure requiring termination of cessation support失敗，需終止戒菸支持 Evidence that switching to cigarettes would be safer證據顯示改吸香菸會更安全

Q2. Which response is most therapeutic at week 4?第4週時，哪項回應最具治療性？

You broke the plan, so start again only when you can guarantee no lapses你破壞了計畫，所以只有在你能保證不再復吸時才重新開始 Keep the lapse secret from the health care team對健康照護團隊隱瞞復吸情形 Let's review the trigger, reinforce what helped you resume the plan, and update coping steps for the next high-risk moment讓我們回顧觸發因素、強化幫助你恢復計畫的因素，並為下一個高風險時刻更新因應步驟

Q3. Which ongoing plan is most appropriate?哪項持續進行的計畫最適當？

Recommend dual use of cigarettes and vapes to reduce cravings建議同時使用香菸與電子煙以減少渴求感 Avoid follow-up unless severe withdrawal occurs除非出現嚴重戒斷症狀，否則避免追蹤 Assume all nicotine medications are automatically appropriate for every adolescent假設所有尼古丁藥物自動適合每位青少年 Continue confidential behavioral support, assess withdrawal and mood, and involve an appropriate clinician for individualized treatment decisions持續保密行為支持、評估戒斷症狀與情緒，並由適當臨床醫師參與個別化治療決策

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相同主題的下一題Review the adolescent's vaping history and determine the most appropriate prevention and c…本題收錄於此題庫[전통+신유형] NCLEX LEVEL UP 패키지KRW 79,000

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