護理師照護一位末期癌症病人,病人要求不再進行侵入性治療。護理師尊重此要求是基於哪項倫理原則?
A nurse is caring for a client with terminal cancer who is requesting no further aggressive treatments. Which ethical principle is the nurse upholding by supporting this request?
- AJustice正義
- BAutonomy✓ 正解自主
- CBeneficence行善
- DFidelity忠誠
本題測試護理倫理核心原則的應用。自主原則(Autonomy)強調病人擁有對自身醫療決策的最終控制權,只要病人具備判定能力(competency),醫療團隊必須尊重其拒絕治療的意願。在末期照護中,尊重病人的選擇是維護其尊嚴與個人價值觀的重要體現,即便該選擇可能導致疾病進程加速,護理師仍應作為病人的擁護者,落實其意願。
This item tests application of the core principles of nursing ethics. The principle of autonomy emphasizes the client's ultimate right to make medical decisions for themselves; as long as the client has decision-making capacity, the healthcare team must respect the client's wish to refuse treatment. In end-of-life care, respecting the client's choices embodies their dignity and personal values. Even if the choice may hasten disease progression, the nurse must act as the client's advocate and honor their wishes.