— 照護管理 · MEDIUM · MCQ —
病人要求護理師讓其閱讀醫療紀錄，護理師應如何回應？
A client asks the nurse to read their medical chart. How should the nurse respond?
- ARefuse the request due to hospital confidentiality policies基於醫院保密政策拒絕請求
- BExplain the facility's policy on accessing medical records✓ 正解說明機構關於存取醫療紀錄的政策
- CAllow the client to read the chart immediately允許病人立即閱讀病歷
- DInform the client that the record is the property of the hospital告知病人該紀錄為醫院財產
— Explanation · 中文詳解 —
病患依法享有閱讀其病歷的權利，但通常需經過正式程序或醫師的評估（避免部分內容造成病人不必要的心理衝擊）。護理師應協助病人了解醫院的規範與申請流程，而非直接拒絕（違反病人權益）或未經審核直接給予（可能違反行政規定）。
Patients are legally entitled to read their own medical record, but this generally requires a formal procedure or physician review (to avoid unnecessary emotional impact from certain content). The nurse should help the patient understand the institutional rules and application process rather than refusing outright (which violates patient rights) or providing the chart directly without review (which may violate administrative policy).
✦ 台美臨床差異
美國病人在電子病歷系統（Portal）下通常可直接查看；台灣病人需向醫院申請影本，兩者取得便捷性不同。