— 照護管理 · MEDIUM · MCQ —
護理師為一位拒絕治療建議的病人提供倡導（Advocacy），其角色為何？
A nurse is advocating for a client who is refusing a recommended procedure. What is the nurse's role?
- AAsk the family to pressure the client to accept the procedure要求家屬施壓讓客戶接受手術
- BEnsure the client understands the risks of refusing✓ 正解確保客戶了解拒絕治療的風險
- CConvince the client to agree to the procedure說服客戶同意接受手術
- DInform the doctor that the client is being difficult告知醫師客戶難以相處
— Explanation · 中文詳解 —
護理師的角色是確保病人在「完全知情」（Informed Consent）的情況下做出決定，而非強迫病人接受。護理師需確認病人了解拒絕建議後可能面臨的後果（風險），並尊重其自主權。這即是護理倡導者的核心價值。
The nurse's role is to ensure that patients make decisions with full informed consent, not to coerce them into accepting recommendations. The nurse must confirm that the patient understands the potential consequences (risks) of refusing the recommended care while respecting patient autonomy. This is the core value of the nurse as patient advocate.
✦ 台美臨床差異
美國非常強調尊重病人拒絕權；台灣傳統文化下，病人有時會聽從家屬決定，護理師需在倫理間取得平衡。