護理師正在照護一位術後病人，該病人拒絕下床活動。最恰當的初步護理介入措施是什麼？
A nurse is caring for a post-operative client who is refusing to ambulate. Which is the most appropriate initial nursing intervention?
- AAdminister a prescribed analgesic before attempting ambulation.在嘗試下床活動前給予處方止痛藥
- BDocument the client's refusal and notify the physician.記錄病人拒絕並通知醫師
- CExplain the risks associated with immobility.說明與無法活動相關的風險
- DExplore the client's reasons for refusing to ambulate.✓ 正解探討病人拒絕下床活動的原因
面對術後病人拒絕活動，護理師應運用護理過程（Nursing Process）中的評估（Assessment）優先原則。在介入之前，必須先釐清「為什麼」拒絕。原因可能多樣，包括未緩解的疼痛、術後恐懼（如擔心傷口裂開）、噁心感或對自身能力的缺乏信心。唯有找出根本原因（Root Cause），才能採取針對性的護理措施（如先止痛、給予心理支持或協助採漸進式活動）。
When a postoperative client refuses to ambulate, the nurse should apply the assessment-first principle of the nursing process. Before any intervention, the reason for refusal must be clarified. Causes can be varied, including unrelieved pain, postoperative fear (such as worry about wound dehiscence), nausea, or lack of confidence in one's ability. Only by identifying the root cause can the nurse implement targeted interventions (such as treating pain first, providing emotional support, or assisting with gradual mobilization).