護理師發現同事記錄了未執行的評估項目，應優先採取什麼行動？
A nurse on a surgical unit observes a coworker documenting assessments that were not performed. What is the nurse's priority action?
- AReport the observation to the state board of nursing向州護理委員會報告此觀察結果
- BConfront the coworker immediately in front of the client在病人面前立即與同事對質
- CDiscuss the issue with the client to verify the care provided與病人討論此問題以核實所提供的照護
- DReport the observation to the charge nurse or unit manager✓ 正解向護理長或單位經理報告此觀察結果
面對偽造文書（Documentation fraud），應循組織層級回報。護理師有義務維護病患安全與醫療記錄真實性。向督導或護理長報告可啟動內部調查，確保合規。私下對質無效且不專業，直接對外通報則需經過內部流程評估，且不應在病人面前爭執。
Documentation fraud should be reported through the organizational chain of command. The nurse has a duty to safeguard patient safety and the integrity of the medical record. Reporting to the supervisor or charge nurse initiates an internal investigation and ensures compliance. Private confrontation is ineffective and unprofessional, while directly reporting to outside authorities should occur only after the internal process has been pursued; disputes should not be conducted in front of the patient.
兩地均強調誠實記錄與組織通報，台灣若嚴重偽造可能涉及刑法偽造文書罪。