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健康促進與維護 · HARD · MCQ

70 歲女性診斷為第一期乳癌,諮詢預後與治療。護理師的角色為何?

A 70-year-old female is diagnosed with stage 1 breast cancer. She asks about her prognosis and treatment. What is the nurse's role?

  • AHelp the client understand the physician's explanation and support decisions✓ 正解
    協助案主理解醫師的說明並支持其決策
  • BGive a specific percentage of survival rate
    提供具體的存活率百分比
  • CRecommend alternative therapies instead of surgery
    建議以替代療法取代手術
  • DAdvise the client to wait for a second opinion
    建議案主等待第二意見
Explanation · 中文詳解

護理師在面對癌症確診病人的角色為護理照護者、教育者與支持者,而非診斷者或決策者。NCLEX 考試強調護理師應尊重病人的自主權(Autonomy),協助其消化醫師提供的專業資訊,而非給予醫療建議或預測。正確答案為 A,這體現了以病人為中心的照護,透過澄清疑慮與提供心理支持,幫助病人做出最符合其價值觀的醫療決定。

The nurse's role with a client newly diagnosed with cancer is that of caregiver, educator, and supporter, not diagnostician or decision-maker. NCLEX emphasizes that the nurse should respect the client's autonomy and help her process the information the physician provides, rather than offering medical recommendations or making predictions. The correct answer is A, which embodies patient-centered care: clarifying concerns and providing psychological support helps the client make medical decisions aligned with her values.

✦ 台美臨床差異

美國非常強調病人自主權與知情同意(Informed Consent)。醫師需詳細解釋治療方案,護理師則負責評估病人是否理解,並記錄此互動。若病人對診斷有疑問,護理師會主動聯繫醫師回房解釋,而非自行代為說明。

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