護理師照顧一位堅持出院（AMA）的病人。下列哪項是優先護理行動？
A nurse is caring for a client who demands to leave the facility against medical advice (AMA). What is the priority nursing action?
- ANotify the provider about the client’s intent✓ 正解通知醫師關於病人的意圖
- BInform the client that insurance will not cover the stay告知病人保險將不予理賠住院費用
- CImmediately remove the client’s intravenous line立即移除病人的靜脈輸液管路
- DHave the client sign the AMA form before discussing risks讓病人在討論風險前先簽署自動出院（AMA）表單
當病人堅持自動出院（AMA, Against Medical Advice）時，護理師的優先行動是通知醫師。醫師有責任評估病人的決策能力，並詳盡解釋離院的醫療風險。護理師不應在醫師解釋前擅自移除靜脈管路，以免病人未經衛教直接離開。法律文件（AMA表單）應在風險溝通後由病人簽署，以保護醫療機構與病人的權益。
When a client insists on leaving against medical advice (AMA), the nurse's priority action is to notify the provider. The provider is responsible for evaluating the client's decision-making capacity and thoroughly explaining the medical risks of leaving. The nurse should not unilaterally remove an IV line before the provider has spoken with the client, as this may allow the client to leave without proper teaching. The legal AMA form should be signed by the client after the risks have been clearly communicated, in order to protect both the institution and the client.