# 一位吸菸的個案說：「我知道吸菸不好，但我還沒準備好戒菸。」哪項回應使用了動機式晤談？

> source: MyMerci (mymerci.kr)  
> url: https://mymerci.kr/pages/nclex_q.php?qn_id=394172&lang=zh-tw  
> language: zh-TW  
> subject: Health Promotion/Disease Prevention  
> category: HPM

## 題目

一位吸菸的個案說：「我知道吸菸不好，但我還沒準備好戒菸。」哪項回應使用了動機式晤談？

## 選項

1. 你今天必須戒菸，否則治療不會有效。
2. 在你決定戒菸之前，沒什麼好討論的。
3. 你喜歡吸菸的哪些方面，又有哪些擔憂呢？ **✔ 正確答案**
4. 我會為你安排戒菸手術。

**正確答案: 3**

## 解析

動機式晤談使用開放式問題、反思和尊重自主性來探索矛盾心態。詢問感知到的好處和擔憂，能在不帶評判的情況下邀請討論。威脅、輕視或不切實際的介入都不是治療性的。

## 深入解析

臨床判斷
行為改變始於準備度和矛盾心態，而非壓力。

記憶提示
詢問、傾聽、反思。

## 臨床情境

臨床實務指引
戒菸諮商可包括動機式晤談、藥物治療選項、追蹤和轉介至戒菸資源。

注意
尊重自主性能提高參與度。

## 重要概念

- **動機式晤談** — 一種探索矛盾心態並支持行為改變的諮商方法。
- **矛盾心態** — 對改變某行為持有複雜的感受。
- **自主性** — 個人做出選擇的權利和能力。

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