— 照護管理 · MEDIUM · MCQ —
護理師照顧一位不配合糖尿病飲食的病人。下列哪項護理行為表現出有效的治療性溝通？
A nurse is caring for a client who is non-compliant with their diabetic diet. Which action by the nurse demonstrates an effective therapeutic approach?
- AExplaining the pathophysiology of diabetes in complex terms以複雜的詞彙解釋糖尿病的病理生理學
- BStating that the patient is responsible for their own health outcomes聲明病人須為自身的健康結果負責
- CAsking the patient about their barriers to adhering to the diet✓ 正解詢問病人遵從飲食的障礙為何
- DTelling the patient they must follow the diet to avoid amputation告知病人必須遵守飲食以避免截肢
— Explanation · 中文詳解 —
有效的治療性護理需建立在動機式晤談（Motivational Interviewing）基礎上。病人不配合飲食通常有其背後的障礙（如經濟、習慣、文化偏好）。詢問這些障礙能幫助護理師了解病人的真實處境，從而制定切實可行的飲食計畫。直接責備或恐嚇會破壞治療性關係，導致病人更排斥，這與治療性溝通的原則背道而馳。
An effective therapeutic approach involves asking the client about barriers to dietary adherence to facilitate collaborative problem-solving. This method respects the client's perspective and avoids blame or fear tactics, which can damage the therapeutic relationship.