一位 55 歲不穩定型心絞痛合併 COPD 男性入心電遙測病房。他英文有限，在心導管知情同意過程中雖明顯困惑但仍點頭。哪項行動最符合 RN 病人倡導者的角色？
A 55-year-old man with unstable angina and COPD is admitted to telemetry. He speaks limited English and nods during the cardiac catheterization consent process despite visible confusion. Which action best fulfills the RN's role as patient advocate?
- AHalt the consent process and obtain a hospital-certified medical interpreter before proceeding.✓ 正解暫停同意程序，並在繼續之前取得醫院認證的醫療翻譯人員。
- BAsk any bilingual staff member on the floor to translate the surgical terms.請病房上任何會雙語的工作人員翻譯手術術語。
- CComplete the consent form because the physician confirmed the client nodded yes.完成同意書，因為醫師確認病人點頭表示同意。
- DEncourage the client to sign because the angina requires urgent intervention.鼓勵病人簽署，因為心絞痛需要緊急介入。
知情同意（informed consent）要求病人完整理解風險、利益與替代方案。語言不通+明顯困惑下的「點頭」不構成有效同意，是無效同意書。 選項 A 正確：護理師作為病人倡導者，應立即暫停簽署並取得院方認證的醫療翻譯員。 選項 C 錯誤：點頭不等於理解，無效同意。 選項 D 錯誤：除非病人意識喪失符合 implied consent 條件，否則仍需有效同意。 選項 B 錯誤：未受訓的雙語員工不能翻譯醫療同意書（責任與準確性問題）。
Informed consent requires the client understand risks, benefits, and alternatives. A nod from a confused, language-limited client is not valid consent. B correct: The RN as patient advocate must halt the process and obtain a certified medical interpreter. A incorrect: A nod is not understanding—invalid consent. C incorrect: Unless implied consent applies (client unconscious), valid consent is still required. D incorrect: Untrained bilingual staff cannot translate medical consent (liability and accuracy concerns).
Informed Consent 的最高鐵律：聽不懂英文的病人，就算他一直點頭，護士也絕對不能讓他簽名。一定要叫官方翻譯員 (Certified Medical Interpreter) 來。這在美國法庭上是天價賠償的界線。