病人預定接受手術，卻告訴護理師：「我真的不懂為什麼我需要開這個刀。」護理師最恰當的處置為何？
A client is scheduled for surgery. The client tells the nurse, 'I really don't understand why I need this operation.' What is the most appropriate action by the nurse?
- AAsk the client's family to explain the procedure to the client請病人家屬向病人解釋手術程序
- BHave the client sign the consent form and then call the doctor讓病人簽署同意書後再呼叫醫師
- CNotify the surgeon that the client does not understand the procedure✓ 正解通知外科醫師該病人不理解手術程序
- DExplain the surgical procedure and its benefits to the client向病人解釋手術程序及其效益
在知情同意程序中，醫師負責解釋手術的風險、效益與替代方案。護理師的角色是「簽名見證人」並確認病人已獲得充分資訊。若病人表示不理解（C），護理師不可代替醫師解釋手術內容（D），而應立即通知醫師重回床邊說明。在病人未理解前不可簽署同意書（B）。
In the informed consent process, the physician is responsible for explaining the risks, benefits, and alternatives of the surgery. The nurse's role is to witness the signature and confirm that the client has received adequate information. If the client states that he or she does not understand (option C), the nurse must not substitute for the physician in explaining the surgical content (option D); instead, the nurse must promptly notify the physician to return to the bedside to provide further explanation. The consent form must not be signed until the client has understood the information (option B is incorrect).
在美國，護理師若越權解釋手術內容會面臨執照風險；台灣護理師常協同解釋，但法律責任核心仍在醫師。