一位末期病人表達想要簽署不施行心肺復甦術（DNR）同意書，護理師的首要行動為何？
A client who has a terminal illness expresses a desire to have a DNR (Do Not Resuscitate) order. What is the nurse's first action?
- AProvide the client with the necessary legal forms提供病人必要的法律表格
- BAsk the client to clarify their understanding of DNR✓ 正解請病人澄清其對 DNR 的理解
- CConsult with the hospital chaplain諮詢醫院牧師
- DCall the physician to discuss the request打電話給醫師討論該請求
當末期病人提出簽署 DNR（不施行心肺復甦術）的要求時，護理師的首要職責是進行護理評估，釐清病人的動機與對 DNR 的理解。病人可能因為身體極度不適、對死亡的恐懼，或對 DNR 的法律意義有錯誤認知（例如以為 DNR 等於放棄一切治療）。在啟動法律文件流程前，先行釐清認知能確保病人的決定是基於充分的資訊，而非一時的情緒波動。這體現了護理師作為病人權益倡導者的角色。
When a terminally ill client requests a do-not-resuscitate (DNR) order, the nurse's first responsibility is to perform a nursing assessment to clarify the client's motivation and understanding of DNR. The client may be acting out of severe physical discomfort, fear of death, or misconceptions about the legal meaning of DNR (for example, believing that DNR equates to giving up all treatment). Clarifying understanding before initiating the legal documentation process ensures that the client's decision is based on adequate information rather than transient emotion. This reflects the nurse's role as a client advocate.