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照護管理 · MEDIUM · SATA

下列哪項護理行動體現了自主權(Autonomy)的倫理原則?(選所有適合的)

Which of the following nursing actions demonstrate the ethical principle of autonomy? (Select all that apply.)

  • AProviding the client with all information needed for informed consent✓ 正解
    提供個案知情同意所需的所有資訊
  • BRespecting the client's decision to refuse a blood transfusion✓ 正解
    尊重個案拒絕輸血的決定
  • CAdvocating for a client who is unable to speak for themselves
    為無法自我表達的個案發聲
  • DMaintaining the client's privacy during a physical examination
    在身體檢查期間維護個案的隱私
  • EExplaining the risks and benefits of a proposed surgical procedure✓ 正解
    說明擬議手術的風險與益處
Explanation · 中文詳解

自主權指尊重病人自行決策的能力與權利。提供完整的資訊(知情同意)是基礎,尊重病人拒絕治療的選擇是體現,說明手術利弊能讓病人自主決策。C選項屬於維護權益(Advocacy),D選項屬於隱私權(Confidentiality),均與狹義的自主權在概念上有所區隔。

Autonomy refers to respecting the client's ability and right to make his or her own decisions. Providing complete information (informed consent) is foundational; respecting the client's choice to refuse treatment is the expression of autonomy; and explaining the risks and benefits of surgery enables the client to make autonomous decisions. Option C represents advocacy, while option D represents confidentiality; both are conceptually distinct from the narrower concept of autonomy.

✦ 台美臨床差異

美國醫護對於知情同意與預立醫療決定(Advance Directives)落實極嚴;台灣隨著病人自主權利法通過,觀念逐漸普及,但臨床仍受家庭影響較大。

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