— 照護管理 · MEDIUM · MCQ —
病人拒絕執行已排定的抽血，護理師的首要行動為何？
A nurse is caring for a client who refuses a scheduled blood draw. What is the nurse's first action?
- ANotify the healthcare provider通知醫療保健提供者
- BDocument the refusal in the medical record在病歷中記錄拒絕行為
- CAsk the client why they are refusing✓ 正解詢問客戶為何拒絕
- DExplain the necessity of the procedure to the client向客戶解釋該程序的必要性
— Explanation · 中文詳解 —
護理照護應尊重病人的自主權。當病人拒絕處置時，護理師應先主動溝通以了解原因，排除是否為疼痛、恐懼、誤解或宗教信仰等因素。深入了解背後考量後，才能提供正確的護理教育或協助排解疑慮，這是護理評估與溝通技巧的基礎。
Respecting client autonomy is paramount; therefore, the nurse must first assess the reason for refusal through open communication. Understanding whether the hesitation stems from pain, fear, misunderstanding, or religious beliefs allows the nurse to address specific barriers before proceeding with education or documentation.
✦ 台美臨床差異
台美對病人自主權（Patient Autonomy）的要求一致，但美國護理師在法律風險意識上更強，會更嚴謹記錄溝通過程以防止醫療爭議。