— 照護管理 · MEDIUM · MCQ —
護理師照顧一位不配合飲食限制的病人。下列哪句話適合作為溝通的開場？
A nurse is caring for a client who is non-compliant with prescribed dietary restrictions. Which statement should the nurse use to begin the conversation?
- AIf you don't follow the diet, you will have to stay in the hospital longer.如果你不遵守飲食規定，你就必須延長住院時間。
- BTell me about some of the challenges you are facing in following your diet.✓ 正解告訴我你在遵守飲食方面面臨的一些挑戰。
- CYou need to understand that your current diet is harming your recovery.你需要了解，你目前的飲食正在危害你的康復。
- DWhy are you refusing to follow the diet that the doctor ordered?你為什麼拒絕遵守醫生開立的飲食規定？
— Explanation · 中文詳解 —
治療性溝通（Therapeutic Communication）的核心在於「開放式詢問」與「建立信任」。針對病人不配合的情境，護理師不應使用責備或威脅的口吻，而應展現同理心，探索病人的觀點。詢問挑戰（Challenges）能讓護理師了解病人背後的困難（如經濟、口味、文化因素），進而提供客製化的護理計畫。
The core of therapeutic communication lies in open-ended inquiry and trust-building. When the client is non-compliant, the nurse should not use a blaming or threatening tone, but should demonstrate empathy and explore the client's perspective. Asking about challenges allows the nurse to understand the underlying difficulties (such as financial, taste, or cultural factors) and to provide an individualized plan of care.