— 照護管理 · MEDIUM · MCQ —
護理師照護一位不配合治療計畫的病人，首要採取什麼行動？
A nurse is caring for a client who is non-compliant with the treatment plan. Which action is the priority?
- ATell the client about the risks of not following orders告知病人不遵從醫囑的風險
- BDocument the non-compliance in the chart在病歷中記錄不配合情形
- CNotify the physician to discharge the client通知醫師為病人辦理出院
- DIdentify the underlying reason for the non-compliance✓ 正解找出不配合的根本原因
— Explanation · 中文詳解 —
面對病人不配合治療（Non-compliance），護理師的優先任務是採用治療性溝通（Therapeutic communication）來釐清原因。不配合的原因可能多樣，包括經濟困難、對副作用的恐懼、文化信仰衝突或對疾病認知不足。護理師應先評估動機與障礙，才能針對性地解決問題，而非直接貼上標籤或採取強制手段。
Identify the underlying reasons for the client's non-compliance using therapeutic communication before taking other actions. Understanding barriers such as financial constraints, fear of side effects, or lack of knowledge allows the nurse to address specific needs and empower the client, rather than simply documenting the behavior or issuing warnings.