— 照護管理 · MEDIUM · MCQ —
一位病人對於治療計畫呈現「不遵從」（Non-compliant）。護理師最好的處理方式為何？
A nurse is caring for a client who is non-compliant with their treatment plan. What is the nurse's best approach?
- AIdentify the underlying barriers to adherence✓ 正解找出影響順從性的根本障礙
- BAsk the physician to discharge the patient for non-compliance請醫師因不順從而將病人出院
- CIgnore the non-compliance as long as the condition is stable只要病情穩定就忽視不順從的行為
- DExplain the negative consequences of non-compliance firmly堅定地說明不順從的負面後果
— Explanation · 中文詳解 —
現代護理強調「依從性」（Adherence）而非「順從性」。若病人不合作，護理師應展現專業同理心，深入探討背後原因（如經濟困難、藥物副作用、文化差異或對療效認知不足），而非單純給予負面警告或強行解聘。
Modern nursing emphasizes 'adherence' rather than 'compliance.' If a patient is not cooperative, the nurse should demonstrate professional empathy and explore the underlying reasons (such as financial difficulties, medication side effects, cultural differences, or inadequate understanding of the treatment), rather than simply issuing negative warnings or terminating care.
✦ 台美臨床差異
台灣醫病溝通較傾向醫師主導；美國則非常重視「共同決策（Shared Decision Making）」過程，護理師扮演重要角色。