護理師協助一位年長病人進行個人衛生與穿衣。哪項措施最能促進該病人的自主權?
A nurse is assisting an elderly client with personal hygiene and dressing. Which nursing action best promotes autonomy for this client?
- AAllowing the client to choose the order of hygiene tasks✓ 正解允許案主選擇衛生活動的順序
- BScheduling the bath at a time convenient for the unit配合單位方便的時間安排洗澡
- CCompleting the entire bath for the client為案主完成整個洗澡過程
- DSelecting the client's clothes for the day為案主挑選當天的衣物
護理的核心倫理之一是尊重病人的自主權(Autonomy),特別是在長期照護或高齡照護情境下。護理師應鼓勵病人參與日常活動的決策,而非採取家長式作風(Paternalism)。讓病人自行決定洗澡或穿衣的順序,能維持其自我效能感(Self-efficacy)與尊嚴,防止功能衰退。臨床上,護理師應評估病人的能力,在安全範圍內最大化其參與度。
One of the core ethical principles in nursing is respect for client autonomy, particularly in the contexts of long-term care or care of older adults. The nurse should encourage the client to participate in daily decisions rather than adopting a paternalistic approach. Allowing the client to decide the order in which bathing and dressing are performed preserves self-efficacy and dignity, and prevents functional decline. In practice, the nurse should evaluate the client's ability and maximize participation within the bounds of safety.