— 基本照護與舒適 · MEDIUM · MCQ —
病人要求變更其預立醫療指示（Advance Directive），護理師的首要角色為何？
A client requests a change in their advance directive. What is the nurse's primary role in this situation?
- AAdvise the client on the legal implications就法律影響為病人提供建議
- BIgnore the request until the doctor arrives忽略該請求直到醫師到達
- CFacilitate communication with the healthcare provider✓ 正解促進與醫療提供者的溝通
- DUpdate the legal document personally親自更新法律文件
— Explanation · 中文詳解 —
護理師的角色是病人權益的倡導者與資源連結者。變更預立醫療指示屬於法律文件，護理師無權自行修改，應協助聯繫主治醫師或社工部，確保程序符合病人的意願與法律規範。專業護理人員不應提供法律諮詢，但有責任確保病人的意願得到及時轉達。
The nurse's role is to act as a client advocate and resource connector. Changing an advance directive involves a legal document, which the nurse has no authority to modify independently; the nurse should help contact the attending provider or social work to ensure the process complies with the client's wishes and legal requirements. Professional nurses should not provide legal advice but are responsible for ensuring that the client's wishes are conveyed promptly.
✦ 台美臨床差異
美國有完善的病人自主權利法案（PSDA），護理師需在入院時詢問並確認；台灣近期推動病人自主權利法，概念相近但行政流程不同。