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照護管理 · MEDIUM · MCQ

病人準備進行侵入性檢查,護理師在知情同意過程中的首要職責為何?

A client is scheduled for a procedure requiring informed consent. What is the nurse's primary role in this process?

  • AVerifying the client's signature on the consent form✓ 正解
    核對病人在同意書上的簽名
  • BExplaining the risks and benefits of the procedure
    說明該程序的風險與益處
  • CSigning the document as a witness to the physician's signature
    以見證醫師簽名之身分簽署文件
  • DEnsuring the physician has discussed the procedure
    確保醫師已討論該程序
Explanation · 中文詳解

知情同意(Informed Consent)的法律責任在於醫師,醫師必須親自向病人解釋醫療程序的目的、風險、利益與替代方案。護理師在其中的角色是「見證人(Witness)」,負責確認病人是在神智清醒、自願且理解的情況下簽署文件,並核對簽名過程。護理師不應代為解釋醫療細節,以免超越執業範圍(Scope of practice)。

The legal responsibility for informed consent rests with the physician, who must personally explain the purpose, risks, benefits, and alternatives of the medical procedure to the client. The nurse's role is that of a witness, responsible for confirming that the client is alert, voluntary, and informed when signing the document, and verifying the signing process. The nurse should not provide explanations of the medical details, in order to avoid acting outside the scope of practice.

✦ 台美臨床差異

在美國臨床實務中,護理師若被家屬問及手術內容,應委婉表示「請詢問醫師」並協助聯繫醫師,絕對避免提供任何醫療解釋。

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