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回顧青少年的電子煙使用史，並判斷最適當的預防與戒菸處置。

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Time	Data
6 months ago	Reports vaping flavored nicotine at parties twice a month and believes aerosol is only water vapor.自述在派對上每月使用兩次調味尼古丁電子煙，並認為氣溶膠只是水蒸氣。
3 months ago	Uses a vape most school days, needs more puffs for the same effect, and becomes irritable when the device is unavailable.多數上學日使用電子煙，需要更多口數才能達到相同效果，裝置不在身邊時會變得易怒。
Today	Vapes within 30 minutes of waking, reports strong cravings and poor concentration, has tried unsuccessfully to stop twice, and screens positive for anxiety symptoms without suicidal thoughts.醒來後30分鐘內吸電子煙，自述強烈 craving 與注意力不集中，曾兩次嘗試戒菸但未成功，焦慮症狀篩檢陽性，無自殺意念。

Q1. How should the nurse interpret the overall pattern?護理師應如何解讀整體模式？

Escalating nicotine dependence with functional and emotional effects尼古丁依賴逐步加重，伴隨功能與情緒影響 Harmless experimentation because no cigarettes are used因為未使用紙菸，所以是無害的嘗試 A normal adolescent behavior that requires no follow-up正常的青少年行為，無需追蹤 Acute nicotine poisoning requiring resuscitation急性尼古丁中毒，需要急救

Q2. Which response is most appropriate now?現在最適當的回應為何？

Use criticism to make the adolescent promise immediate abstinence以批評方式讓青少年承諾立即戒菸 Assess readiness, build a quit plan, and connect the adolescent with youth cessation and mental-health support評估戒菸準備度、建立戒菸計畫，並轉介青少年至專屬戒菸與心理健康支持 Wait until daily cigarette smoking begins等到開始每日吸紙菸再處理 Disclose every detail to school officials without discussing confidentiality未討論保密原則就將所有細節告知學校人員

Q3. Which teaching is accurate?哪一項衛教內容正確？

E-cigarette aerosol is harmless water vapor電子煙氣溶膠是無害的水蒸氣 Nicotine affects adults but not the adolescent brain尼古丁只影響成人，不影響青少年大腦 Most vapes contain addictive nicotine, and aerosol can contain harmful substances多數電子煙含有成癮性尼古丁，氣溶膠可能含有有害物質 Dual use of vapes and cigarettes protects the lungs同時使用電子煙與紙菸可保護肺部

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相同主題的下一題Review an adolescent's vaping-cessation follow-up timeline and determine which nursing res…本題收錄於此題庫[전통+신유형] NCLEX LEVEL UP 패키지KRW 79,000

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