護理師評估一項有關病人拒絕治療的倫理困境，哪項倫理原則支持該決定？

自主權（Autonomy）是指病人有權做出關於自身醫療的決定，即便該決定可能不利於其健康。護理師應尊重病人的自主性。Beneficence 是指行善，Justice 是公平，Nonmaleficence 是不傷害，這些原則在病人強烈拒絕時，需服膺於自主權之下。

Autonomy refers to the patient's right to make decisions about their own medical care, even when that decision may be detrimental to their health. The nurse should respect the patient's autonomy. Beneficence is doing good, Justice is fairness, and Nonmaleficence is avoiding harm; when a patient strongly refuses treatment, these principles must yield to autonomy.

美國醫護對於自主權的堅持非常強烈；台灣文化中家屬參與決策比例較高，護理師在推動『尊重病人自主』時需多費心溝通。