— 照護管理 · HARD · MCQ —
護理師照顧一位不遵守治療計畫的病人，哪句話最能體現護理師的倡議（Advocacy）角色？
A nurse is caring for a client who is non-compliant with the treatment plan. Which statement best reflects the nurse's advocacy role?
- A“Tell me more about what concerns you regarding this treatment plan.”✓ 正解「請告訴我您對這個治療計畫有什麼擔憂。」
- B“It is important for your health that you listen to the medical team.”「為了您的健康，您必須聽從醫療團隊的指示。」
- C“I will inform the doctor that you refuse to take your medicine.”「我會通知醫師您拒絕服藥。」
- D“You must follow the medication schedule if you want to get better.”「如果您想康復，就必須遵循用藥時間表。」
— Explanation · 中文詳解 —
護理倡議的核心在於尊重病人的價值觀並協助克服障礙。病人的不配合往往源於對治療的不解、副作用的恐懼或經濟因素。透過開放式溝通，護理師能理解病人感受並協助調適，而非單純強制執行醫囑。其他選項顯得具強制性或推卸責任，未能真正代表病人的權益。
Nursing advocacy involves respecting patient autonomy and addressing barriers to compliance through open communication. By asking the client about their concerns, the nurse demonstrates active listening and seeks to understand the root cause of non-compliance. This approach facilitates collaborative problem-solving rather than imposing authority or dismissing the patient's perspective.
✦ 台美臨床差異
美國護理教育強調 Advocacy；台灣護理師常需在醫囑與病人需求間取得平衡，倡議角色常隱含在衛教過程中。