— 照護管理 · MEDIUM · SATA —
護理師在獲取病人知情同意書時，應採取哪些行動？（選所有適合的）
Which actions should the nurse take when obtaining informed consent from a client? (Select all that apply.)
- AVerify that the client is alert and oriented✓ 正解確認病人神智清楚且定向力完整
- BExplain the risks and benefits of the procedure解釋手術的風險與益處
- CEnsure the signature is witnessed✓ 正解確保簽名有見證人在場
- DConfirm the client understands the alternative treatments確認病人了解替代治療方案
- EAssess for voluntary consent without coercion✓ 正解評估同意是否為自願且無脅迫
— Explanation · 中文詳解 —
護理師在同意書過程的角色是「見證者」（Witness），負責確認病人神智清晰、無強制脅迫且自願簽署。詳細說明手術風險、效益、替代方案（選項B與D）則是醫師的法律職責。護理師僅負責確保病人聽過醫師說明並釐清疑慮，而非自行解釋手術細節。
The nurse's role in the informed consent process is that of a witness, responsible for verifying that the client is alert, free from coercion, and signing voluntarily. Detailed explanation of surgical risks, benefits, and alternatives (options B and D) is the physician's legal responsibility. The nurse only ensures the client has heard the physician's explanation and clarifies questions, rather than explaining surgical details independently.
✦ 台美臨床差異
台美法律皆規範醫師需解釋，但在臨床執行面，台灣護理師常被迫代為解釋，需特別注意法律界線。