— 基本照護與舒適 · MEDIUM · MCQ —
護理師協助病人準備執行醫療處置。下列哪項行為對於確保知情同意至關重要？
A nurse is preparing a client for a procedure. Which action is essential to ensure informed consent?
- AEnsure the physician has explained the risks and alternatives✓ 正解確保醫師已解釋風險與替代方案
- BWitness the client's signature even if they have questions即使病人有疑問，也要見證病人的簽名
- CSign the form on behalf of the client if they are tired如果病人疲倦，代表病人簽署表格
- DProvide the client with the form to sign immediately upon admission在入院時立即提供表格讓病人簽署
— Explanation · 中文詳解 —
知情同意（Informed Consent）的核心是病人必須充分理解處置的目的、風險與替代方案。醫師負有解釋責任，護理師則負責確認病人是否理解並簽署。護理師不可代簽，也不能在病人有疑問時強迫簽署，更不可未解釋前讓病人簽字。
The essence of informed consent is that the patient must fully understand the purpose, risks, and alternatives of the procedure. The physician is responsible for the explanation, while the nurse confirms understanding and witnesses the signature. The nurse may not sign on the patient's behalf, must not pressure the patient to sign while questions remain, and must not allow signing prior to the physician's explanation.
✦ 台美臨床差異
美國醫護對於同意書的法律規範極嚴；台灣臨床實務上，有時因醫師時間受限，護理師需擔任更多解釋與溝通的橋樑。