護理師照顧一位不配合治療計畫的病人，哪項措施最為適當？
A nurse is caring for a client who is non-compliant with the treatment plan. What is the most appropriate action for the nurse to take?
- AExplore the reasons behind the client's refusal✓ 正解探討病人拒絕治療背後的原因
- BThreaten the client with discharge if they continue to refuse若病人繼續拒絕則威脅將其出院
- CNotify the physician to force the treatment通知醫師以強制執行治療
- DDocument the non-compliance and ignore the client's preferences記錄不配合行為並忽略病人的偏好
面對不配合治療的病人，護理師應展現治療性溝通（Therapeutic communication）技巧。病人拒絕治療通常背後有其原因，可能是因為對疾病認知不足、擔心藥物副作用、宗教信仰衝突或財務困難。直接強迫或威脅不僅違反病人自主權（Autonomy），更會破壞護病關係。護理師的首要任務是探討拒絕的原因，提供適當衛教，並協調跨專業團隊尋找替代方案，這才是以病人為中心的照護（Patient-centered care）。
Faced with a non-compliant client, the nurse should use therapeutic communication. Refusal often has underlying reasons—poor disease understanding, fear of side effects, religious conflict, or financial barriers. Forcing or threatening violates client autonomy and damages the therapeutic relationship. The nurse's first task is to explore the reasons for refusal, provide appropriate education, and coordinate the interdisciplinary team to find alternatives—patient-centered care.