— 照護管理 · EASY · MCQ —
病人不願意配合服藥，護理師的首要行動為何？
A nurse is caring for a client who is non-compliant with prescribed medication. What is the nurse's priority action?
- AReport the non-compliance to the physician向醫師報告不服藥情形
- BDetermine the reason for the client's non-compliance✓ 正解釐清病人不服藥的原因
- CExplain the consequences of not taking the medication說明不服藥的後果
- DAsk the client's family to ensure the medication is taken請家屬確保病人服藥
— Explanation · 中文詳解 —
在護理實務中，面對不配合服藥的病人，首要任務是運用「治療性溝通（Therapeutic Communication）」進行評估。護理師不能預設病人是惡意的，必須先找出潛在原因，例如經濟負擔、藥物副作用、認知障礙、文化信仰或對疾病缺乏理解。只有找出根源，才能制定有效的護理照護計畫（Nursing Care Plan），這符合護理過程中的「評估（Assessment）」優先原則。
The nurse's priority is to assess the underlying reasons for the client's non-compliance using therapeutic communication. Identifying barriers such as side effects, cost, or lack of understanding is essential before implementing interventions like teaching or reporting to the provider.
✦ 台美臨床差異
在美國臨床中，強調「病人自主權（Patient Autonomy）」與「知情同意（Informed Consent）」，護理師需確認病人是否有足夠的健康識能（Health Literacy）來理解藥物重要性，而非單純要求遵醫囑。