— 照護管理 · MEDIUM · MCQ —
一位末期病人向護理師詢問有關預立醫療決定（Advance Directives）的資訊，護理師應如何回應？
A nurse is caring for a client who is terminally ill and requesting information regarding advance directives. Which of the following statements by the nurse is appropriate?
- AYou must have a lawyer present to sign these documents.簽署這些文件必須有律師在場。
- BI will provide you with the necessary forms and explain how to complete them.✓ 正解我會提供您必要的表格，並說明如何填寫。
- COnce signed, this document cannot be modified or canceled.一旦簽署，此文件不得修改或撤銷。
- DThis document will only become effective if you become unconscious.此文件僅在您失去意識時才會生效。
— Explanation · 中文詳解 —
預立醫療決定是病人的基本權利（Patient Self-Determination Act），護理師的角色是提供諮詢與協助。護理師應主動提供相關表格並說明填寫流程，並協助聯繫社工或相關法律諮詢資源，確保病人意願獲得保障。
Advance directives are a fundamental patient right (Patient Self-Determination Act). The nurse's role is to provide information and facilitate access to forms, and to involve social work or legal resources as needed to ensure the client's wishes are documented and respected.
✦ 台美臨床差異
美國推廣預立醫療計畫行之有年；台灣在《病人自主權利法》通過後，推廣力度增加，但臨床實務上普及率仍需提升。