— 照護管理 · MEDIUM · MCQ —
下列哪種情境描述了護理管理中的倫理困境？
Which of the following scenarios describes an ethical dilemma in nursing management?
- AA family insists on life support for a terminal client against their wishes✓ 正解家屬堅持為末期病患維持生命支持系統，違背病患意願
- BA hospital requires nurses to work overtime due to a staff shortage由於人力短缺，醫院要求護理師加班
- CA nurse makes a medication error and reports it to the manager護理師發生給藥錯誤並向主管報告
- DA nurse asks for a change in schedule to attend a family event護理師請求調整班表以參加家庭活動
— Explanation · 中文詳解 —
倫理困境指的是在兩個或多個道德價值觀發生衝突時，難以做出單一「對」的選擇。家屬意願與病人自主權之間的衝突是臨床常見倫理爭議。其他選項涉及錯誤處理、人力資源問題或個人請求，雖需管理，但不屬於典型的倫理困境範疇。
An ethical dilemma refers to a situation in which two or more moral values conflict, making it difficult to choose a single 'right' answer. Conflict between family wishes and patient autonomy is a common clinical ethical issue. The other options involve error management, human resource issues, or personal requests; while requiring management, they do not fall within the typical scope of an ethical dilemma.
✦ 台美臨床差異
台美對於 DNR 與臨終治療的倫理觀念趨於一致，但台灣更強調家庭決策對病人自主權的影響力。