— 照護管理 · HARD · MCQ —
一位病人有放棄急救（DNR）醫囑，家屬要求護理師忽略它，最佳回應是？
A nurse is caring for a client with a DNR order. The family requests the nurse to ignore the order. What is the best response?
- AContact the physician to change the DNR status聯絡醫師更改 DNR 狀態
- BExplain the legal validity of the DNR order to the family✓ 正解向家屬解釋 DNR 醫囑的法律效力
- CFollow the family's wishes to maintain harmony順從家屬意願以維持和諧
- DDocument the family's request in the nursing notes在護理紀錄中記載家屬的要求
— Explanation · 中文詳解 —
護理師必須尊重法律效力與病人的自主權。DNR 醫囑需經過法律程序或醫師認可，一旦簽署即具法律約束力。護理師應堅定且溫和地向家屬解釋該醫囑的意涵與法律義務，並提供心理支持，而非盲目順從家屬而違背專業倫理。
The nurse must respect the legal validity of the order and the patient's autonomy. A DNR order must be established through a legal process or physician approval; once signed, it is legally binding. The nurse should firmly yet gently explain the meaning and legal obligations of the order to the family and provide psychological support, rather than blindly comply with the family in violation of professional ethics.
✦ 台美臨床差異
台灣 DNR 受《安寧緩和醫療條例》保障，程序嚴格，護理師需具備強大的溝通技巧以應對家屬壓力。