護理師照顧一位對處方用藥不遵從的病人。護理師應優先採取哪項行動？
A nurse is caring for a client who is non-compliant with prescribed medication. Which action should the nurse take first?
- ANotify the provider of the client's non-compliance通知醫師客戶之不遵從情況
- BExplore the reasons for the client's non-compliance✓ 正解探討客戶不遵從之原因
- CDischarge the client with a warning about consequences警告後果後出院
- DProvide the client with written educational materials提供客戶書面教育資料
護理流程的第一步是「評估」（Assessment）。當病人不遵從醫囑（non-compliance）時，護理師不能直接假定原因或通報醫師，而應先透過溝通探索原因。病人不遵從的原因可能包括藥物副作用難以忍受、經濟困難無法負擔、對疾病認知不足或文化信仰衝突。唯有先找出根本原因，才能進行針對性的衛教或協調醫療資源，提供有效的護理介入。
The first step of the nursing process is Assessment. When a patient is non-compliant with the medical regimen, the nurse should not directly assume a cause or notify the physician but should first communicate with the patient to explore the reasons. Causes of non-compliance may include intolerable side effects, financial difficulty with affordability, inadequate understanding of the disease, or conflicts with cultural beliefs. Only by identifying the underlying cause can the nurse provide targeted education or coordinate medical resources to deliver effective interventions.