— 照護管理 · MEDIUM · MCQ —
護理師照護一位不遵從藥物治療的病人，應優先採取的行動為何？
A nurse is caring for a client who is non-compliant with prescribed medication. What should be the nurse's first action?
- ADocument the non-compliance in the chart在病歷中記錄不遵從行為
- BAsk the family to encourage the client to take meds要求家屬鼓勵病人服藥
- CExplore the reasons behind the client's non-compliance✓ 正解探討病人不遵從背後的原因
- DNotify the physician immediately立即通知醫師
— Explanation · 中文詳解 —
面對不遵從藥物治療（Non-compliance）的病人，護理師的首要行動是評估原因（Assessment）。不遵從的原因多樣，包括：經濟負擔（藥費昂貴）、藥物副作用（如噁心、頭暈）、對疾病的認知不足、文化因素或認知障礙。在未釐清原因前，直接通報醫師或家屬無法解決問題，甚至可能加深醫病對立。護理師應採取同理心傾聽，找出病人的困難點，再共同擬定解決方案。
The nurse's first action when addressing medication non-compliance is to assess the underlying reasons, such as side effects, cost, or lack of understanding. Identifying these barriers allows for patient-centered interventions rather than prematurely notifying the provider or relying on family pressure.