— 降低風險 · MEDIUM · MCQ —
護理師照護一位術後病人，病人拒絕執行深呼吸運動，首要的護理行動為何？
A nurse is caring for a client who is post-operative and refusing to perform deep breathing exercises. What is the best initial nursing action?
- AAdminister pain medication給予止痛藥物
- BNotify the surgeon immediately立即通知外科醫師
- CAsk the client the reason for their refusal✓ 正解詢問個案拒絕的原因
- DDocument the refusal in the chart and stop the teaching在病歷中記錄拒絕行為並停止衛教
— Explanation · 中文詳解 —
術後病人拒絕執行深呼吸與咳嗽運動（Deep breathing & Coughing exercise）通常有其原因，如切口疼痛、害怕傷口裂開或缺乏動機。護理師應先展現治療性溝通（Therapeutic communication），探究病人拒絕的真實原因，而非直接通知醫師或強制執行。了解原因後，護理師才能針對問題採取行動（如提供疼痛管理或衛教）。
The nurse should first use therapeutic communication to explore the client's reasons for refusing deep breathing exercises, such as pain or fear of wound dehiscence. Identifying the underlying cause allows for targeted interventions like pain management or reassurance before escalating to other measures.