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照護管理 · EASY · MCQ

一位術前準備的病人表示對手術感到焦慮,詢問護理師在還有疑問的情況下是否仍應簽署知情同意書。護理師應如何回應?

A nurse is caring for a client who is preoperative and expresses anxiety about the procedure. The client asks if they should sign the informed consent form even though they still have questions. Which response by the nurse is appropriate?

  • AInform the client that the signature is just a formality.
    告知病人簽名僅是形式而已
  • BTell the client that signing the form is mandatory for admission.
    告知病人簽署表格是入院必備程序
  • CExplain that the physician must answer any remaining questions before the client signs.✓ 正解
    說明醫師必須在病人簽署前回答任何疑問
  • DAnswer the questions for the client to expedite the surgery.
    為加速手術進程而替病人解答疑問
Explanation · 中文詳解

知情同意書的簽署必須建立在病人對手術過程、風險及替代方案有充分理解的前提下。醫師身為執行者,負有解釋細節的法律責任,護理師職責在於確認病人已充分諮詢並已簽署文件。若病人仍有疑慮,護理師應暫停簽署程序並聯絡醫師進行說明,保障病人自主權與知情權。

Informed consent must be based on the client's full understanding of the procedure, risks, and alternatives. The physician, as the operator, has the legal duty to explain details. The nurse's role is to verify that consultation has occurred and to witness the signature. If the client still has concerns, the nurse should pause the signing process and contact the physician for further explanation, protecting the client's autonomy and right to be informed.

✦ 台美臨床差異

台美兩地皆重視知情同意。美國由醫師解釋後護理師確認;台灣臨床常由醫師解釋,護理師作為見證人確認病人理解狀況。

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