— 照護管理 · MEDIUM · MCQ —
病人未依醫囑服藥，護理師應優先採取何種措施？
A nurse is caring for a client who is non-compliant with medication. Which action should the nurse take first?
- AAsk the client why they are not taking the medication✓ 正解詢問病人為何未按醫囑服藥
- BProvide the medication and observe the client taking it提供藥物並觀察病人服用
- CInform the physician immediately立即通知醫師
- DDocument the client as non-compliant in the chart在病歷中記錄病人不配合
— Explanation · 中文詳解 —
當病人未依醫囑服藥時，護理師應運用「治療性溝通」技巧，優先探討行為背後的成因。病人不配合的原因可能多樣，包括藥物副作用（如噁心）、經濟負擔、對藥物療效的誤解，或對病情認知不足。直接通知醫師或強制服藥無法解決根本問題。透過問診找出障礙，才能針對性地進行衛教或與醫療團隊協調調整治療計畫，達到最佳的護理成效。
When a client is non-compliant with medications, the nurse should use therapeutic communication to explore the reason. Causes vary and may include side effects (e.g., nausea), cost, misunderstandings about efficacy, or limited disease knowledge. Notifying the provider or forcing administration does not address the underlying issue. Identifying the barrier through assessment allows targeted education or collaborative adjustments to the treatment plan.