— 照護管理 · HARD · MCQ —
護理師照護一位對處方用藥服從性不佳的病人。護理師應優先採取哪項措施？
A nurse is caring for a client who is non-compliant with prescribed medications. Which action should the nurse take first?
- AExplain the side effects of the medication again再次說明藥物的副作用
- BDocument that the client refuses the medication記錄個案拒絕給藥
- CReport the client to the physician immediately立即向醫師報告個案
- DDetermine the reasons for non-compliance✓ 正解確定不服從的原因
— Explanation · 中文詳解 —
評估（Assessment）是護理過程的第一步。在採取任何干預措施（如通報、再次說明）前，必須先釐清病人為何不配合（如經濟困難、副作用、認知障礙或文化信仰）。不了解原因而強制推行衛教或通報，無法解決根本問題，故優先進行溝通評估。
Assessment is the first step of the nursing process, so the nurse must determine the underlying reasons for non-compliance, such as financial constraints, side effects, or cultural beliefs, before implementing interventions.
✦ 台美臨床差異
台灣文化中病人常因擔心被責備而不說出原因；美國則強調以病人為中心的溝通技巧，鼓勵開放式對話。