— 基本照護與舒適 · HARD · MCQ —
病人正經歷嚴重疼痛，但因擔心成癮而拒絕使用類鴉片藥物。護理師應優先採取哪項行動？
A client is experiencing severe pain but refuses opioids due to fear of addiction. Which action should the nurse take first?
- ATell the client that addiction is impossible in the hospital告知病人在醫院不可能成癮
- BRespect the client's wish and give nothing尊重病人意願而不予給藥
- CAssess the client's understanding of pain management and addiction✓ 正解評估病人對疼痛管理及成癮的認知
- DAdminister the medication while the client is sleeping趁病人睡覺時給藥
— Explanation · 中文詳解 —
本題考驗護理師在病人拒絕疼痛管理（pain management）時的臨床判斷與優先行動。核心概念是護理師有責任緩解病人的疼痛，同時必須尊重病人的自主權（autonomy）。當病人因誤解（例如對類鴉片藥物成癮的恐懼）而拒絕治療時，護理師的首要任務是進行評估和衛教。了解病人拒絕的具體原因，澄清關於疼痛管理和成癮的迷思，是建立信任、確保病人獲得適當照護的關鍵第一步。這符合護理過程中的評估階段，也是以病人為中心的照護（patient-centered care）的重要體現。
When a client refuses opioids due to fear of addiction, the nurse's first action should be to assess the client's understanding of pain management and addiction risks. This evaluation allows the nurse to address misconceptions, provide education, and build trust, thereby facilitating appropriate pain relief while respecting the client's autonomy.