護理師照顧一位不遵守糖尿病飲食控制的病人，應首先採取什麼行動？
A nurse is caring for a client who is non-compliant with their diabetic diet. Which action should the nurse take first?
- AProvide a list of foods the client should avoid提供病人應避免的食物清單
- BAsk the client about their barriers to adhering to the diet✓ 正解詢問病人遵從飲食的障礙
- CExplain the long-term risks of uncontrolled diabetes說明血糖控制不良的長期風險
- DRefer the client to a nutritionist轉介病人至營養師
面對病人不配合治療計畫時，護理師首先應進行「評估」，試圖理解導致病人不配合的原因（例如經濟因素、飲食喜好、知識不足或文化因素）。在未了解原因前進行說教、轉診或提供清單，通常無法達成治療目標。建立治療性關係並透過評估找出問題根源是護理過程的第一步。
When a client is not adhering to a treatment plan, the nurse should first perform an "assessment" to understand the reasons for non-adherence (e.g., financial factors, food preferences, lack of knowledge, or cultural factors). Lecturing, referrals, or providing lists before understanding the cause are usually ineffective in achieving treatment goals. Establishing a therapeutic relationship and identifying the root cause through assessment is the first step of the nursing process.
美國護理強調 Motivational Interviewing（動機式訪談），台灣則較著重於直接衛教指導。