護理主管發現一名護理師記錄了未執行的護理項目，主管應優先採取什麼行動？
A nurse manager observes a staff nurse documenting care for a client that was not performed. What is the priority action for the nurse manager?
- AReport the nurse to the State Board of Nursing immediately立即向州護理委員會通報該護理師
- BConfront the nurse privately to discuss the documentation discrepancy✓ 正解私下與該護理師面對面討論紀錄不一致的問題
- CSchedule a counseling session to discuss the documentation error安排輔導會議以討論紀錄錯誤
- DRemove the nurse from the shift immediately立即將該護理師調離值班
偽造文書屬於嚴重的職業道德缺失。主管的首要任務是進行事實調查與私下會談，以釐清是紀錄錯誤、認知落差還是蓄意偽造。直接通報州護理委員會屬於懲戒流程的後續階段，而在未經查證前將其調離崗位或公開指責並不符合人事處理程序。
Falsification of records is a serious breach of professional ethics. The manager's primary responsibility is to investigate the facts and hold a private discussion to clarify whether the issue is a documentation error, a knowledge gap, or intentional falsification. Reporting directly to the State Board of Nursing is a later step in the disciplinary process; without prior verification, reassigning the nurse or publicly confronting them does not conform to standard human resources procedures.
美國有明確的執業規範，嚴重違規會導致執照懲戒；台灣此類行為多屬院內行政懲處或法律責任，較少直接進入護理師執照懲戒體系。