— 照護管理 · MEDIUM · MCQ —
下列哪項護理行為最能體現『病人代言人』（Advocacy）的原則？
Which of the following nursing actions best demonstrates the principle of advocacy?
- ASupporting a client's decision to refuse a non-emergent treatment✓ 正解支持客戶拒絕非緊急治療的決定
- BFollowing the surgeon's orders without question不加質疑地遵循外科醫生的指示
- CTelling the client they must do whatever the staff says告訴客戶他們必須服從工作人員的指示
- DSharing the client's information with their friends to keep them updated未經授權將客戶的資訊分享給朋友以讓他們了解情況
— Explanation · 中文詳解 —
護理師作為『代言人』，核心任務是保護病人的自主權與最大利益。當病人決策與醫療計畫衝突且非緊急時，支持病人意願並協助其與醫療團隊溝通，是代言人的核心職責。無條件服從醫囑、洩漏隱私、壓制病患意願均違反此原則。
Nursing advocacy centers on protecting the client's autonomy and right to make informed decisions about their care. Supporting a client's refusal of non-emergent treatment demonstrates respect for their self-determination, whereas blind obedience to orders or violating privacy undermines this ethical principle.
✦ 台美臨床差異
美國護理師常在多專業團隊中為病人爭取權益；台灣護理師在傳統醫學權威結構中，代言人角色較難發揮，需更多溝通技巧。