一位病人希望出院但未經醫師同意（AMA），護理師應先採取哪項行動？
A nurse is caring for a client who wishes to leave against medical advice (AMA). Which action should the nurse take first?
- ADocument the incident in the chart在病歷中記錄此事件
- BAsk the client about their concerns✓ 正解詢問病人他們的顧慮
- CNotify the physician about the client's decision通知醫師病人的決定
- DHave the client sign the AMA form請病人簽署自動出院（AMA）表格
當病人希望自動出院（AMA, Against Medical Advice）時，護理師應先以溝通為優先，排除可能的誤解、憤怒或不滿，了解病人離院的真實原因（如擔心費用、照顧問題等）。在簽署法律文件前，應先嘗試解決可修正的問題。若病人執意離開，才需請醫師解釋風險並讓病人簽署 AMA 同意書，最後詳實記錄過程。
When a client wishes to leave against medical advice (AMA), the nurse should give priority to communication, ruling out possible misunderstanding, anger, or dissatisfaction, and understanding the true reason for leaving (such as concerns about costs or caregiving). Before signing legal documents, the nurse should first try to resolve correctable issues. If the client still insists on leaving, the physician should then explain the risks and have the client sign the AMA form, after which the entire process should be documented in detail.