病人要求自動出院（AMA）。護理師的首要行動為何？
A nurse is caring for a client who is requesting to leave against medical advice (AMA). Which action is the priority for the nurse?
- ALock the exit doors to prevent the client from leaving鎖住出口以防止患者離開
- BDocument that the client is non-compliant記錄患者不服從醫囑
- CCall security to restrain the client呼叫保全人員約束患者
- DNotify the provider about the client's decision✓ 正解通知醫師關於患者的決定
病患有權利拒絕治療並離開醫院，但護理師必須確保醫生知情，由醫生評估病人決策的風險並進行最後溝通與解釋。限制自由是違法的（假性監禁），除非病人有嚴重精神狀態且具自傷傷人風險，才需依照強制住院程序處理，而非簡單的AMA。
The patient has the right to refuse treatment and leave the hospital, but the nurse must ensure that the physician is informed so that the physician can assess the risk of the patient's decision and provide a final discussion and explanation. Restricting the patient's freedom is illegal (false imprisonment), unless the patient has a serious mental status alteration with risk of harm to self or others, in which case the procedures for involuntary admission—not a simple AMA—must be followed.
美國 AMA 程序非常嚴謹，需簽署詳細表格；台灣醫療糾紛中常因 AMA 後病情惡化引發法律爭議，醫師簽署與病人衛教紀錄極為重要。