護理師照顧一位對高血壓藥物順從性不佳的病人,應首先採取什麼行動?
A nurse is caring for a client who is non-compliant with their antihypertensive medication. Which action should the nurse take first?
- AAsk the client about their reasons for missing doses✓ 正解詢問病人漏服劑量的原因
- BExplain the potential complications of uncontrolled hypertension說明未控制之高血壓的潛在併發症
- CSuggest the use of a daily pill organizer建議使用每日藥盒
- DNotify the healthcare provider about the non-compliance通知醫療提供者關於不順從的情況
護理過程(Nursing Process)的首要步驟是評估(Assessment)。在面對病人不遵從醫囑(non-compliance)時,護理師不能預設病人是故意不配合,而應透過開放式溝通找出潛在原因。這些原因可能包括藥物副作用、經濟困難、對疾病認知不足或遺忘等。只有在掌握真實原因後,護理師才能制定具體的護理計劃(Nursing Care Plan)並提供有效的衛教。
The first step of the nursing process is assessment. When dealing with non-compliance, the nurse should not assume that the client is intentionally uncooperative but should use open-ended communication to identify the underlying cause. These reasons may include medication side effects, financial hardship, inadequate understanding of the disease, or forgetfulness. Only after the actual cause is identified can the nurse develop a specific nursing care plan and provide effective education.