病人拒絕在手術知情同意書上簽字，護理師應採取的優先措施是？
A nurse is caring for a client who refuses to sign an informed consent form for an upcoming surgery. What is the nurse's priority action?
- ANotify the surgeon about the client's decision✓ 正解通知外科醫師關於患者的決定
- BAsk the client's family to persuade the client要求患者家屬說服患者
- CEducate the client on the benefits of the surgery教育患者手術的好處
- DDocument the refusal in the medical record在病歷中記錄拒絕簽署
知情同意（Informed Consent）是病人的法律權利。當病人拒絕簽署時，護理師的角色是「倡導者（Advocate）」，首要任務是通知醫師，因為醫師有責任說明手術風險、利益與替代方案。護理師不可強迫病人、委託家屬施壓或逕自忽略，必須確保醫師再次與病人溝通，確認病人是在完全理解情況下做出的決定。
Informed consent is the client's legal right. When the client refuses to sign, the nurse's role is that of an advocate, and the priority action is to notify the physician, who is responsible for explaining the risks, benefits, and alternatives of the surgery. The nurse must not coerce the client, ask family to pressure the client, or unilaterally ignore the refusal. The physician must communicate again with the client to ensure the decision is made with full understanding.