一位臨終病人的家屬要求護理師提供病人的完整病歷，護理師應採取何種正確行動？
A nurse is caring for a client who is terminally ill. The family requests the nurse to provide the client's chart to them. What is the nurse's best action?
- AReview the facility policy regarding medical records access✓ 正解查閱關於病歷存取之機構政策
- BMake a copy of the chart for the family為家屬複製一份病歷
- CInform the family that the chart is confidential告知家屬病歷屬於機密
- DDiscuss the request with the hospital administrator與醫院行政人員討論此請求
法律層面而言，病歷屬於病人的隱私，即使是臨終階段，存取權限也必須遵循醫療機構的政策與當地法律。護理師不應自行決定提供或直接拒絕，應先查閱該機構關於病歷存取的政策（例如：是否授權家屬代理人），以確保符合 HIPAA 等隱私規範。
From a legal standpoint, the medical record is part of the client's privacy. Even at the end of life, access must follow the facility's policy and applicable local law. The nurse should not personally decide either to provide the record or to refuse outright, but should first consult the facility's policy regarding access to medical records (for example, whether a family member has been authorized as a representative) to ensure compliance with privacy regulations such as HIPAA.
美國受 HIPAA 嚴格規範，台灣受病人自主權利法及個人資料保護法保障，程序上均需透過病歷室申請。