病人要求自動出院（AMA），護理師優先採取的行動為何？
A nurse is caring for a client who is requesting to leave the facility against medical advice (AMA). Which action is the priority?
- AExplain the risks and consequences of leaving the facility說明離開醫療機構的風險與後果
- BCall the hospital security team to detain the client呼叫醫院保全團隊拘留個案
- CNotify the provider about the client's decision✓ 正解通知醫師關於個案的決定
- DAsk the client to sign a release of responsibility form請個案簽署免責同意書
當病人堅持自動出院（AMA, Against Medical Advice）時，護理師的法律義務是確保病人已充分了解拒絕治療的後果。然而，依據權責劃分，護理師的首要行動是通知醫師，因為醫師有法律義務評估病人是否有知情能力（Capacity），並嘗試進行最後的溝通與勸阻。護理師不能私自拘留病人，但需在確保病人知情後進行紀錄。
When a client insists on leaving against medical advice (AMA), the nurse's legal duty is to ensure that the client fully understands the consequences of refusing treatment. However, according to scope of practice, the nurse's first action is to notify the physician, because the physician has the legal obligation to assess whether the client has decisional capacity and to attempt a final discussion and persuasion. The nurse cannot detain the client unilaterally but must document the situation after ensuring the client is informed.
美國法規對 AMA 的流程要求非常嚴謹，護理師必須確保「知情同意（Informed Consent）」的反面——「知情拒絕（Informed Refusal）」已完整執行並詳細記錄。