— 照護管理 · EASY · MCQ —
病人即將手術，需取得知情同意。請問誰有責任解釋手術過程？
A client is scheduled for surgery. The nurse must verify that informed consent is obtained. Who is responsible for explaining the procedure?
- AThe nurse護理師
- BThe surgeon✓ 正解外科醫師
- CThe unit manager病房主管
- DThe hospital administrator醫院行政人員
— Explanation · 中文詳解 —
知情同意（Informed Consent）的法定責任在於執行該項治療或手術的醫師。醫師必須解釋風險、益處、替代方案。護理師的角色是驗證該同意書已簽署、病人清醒且理解內容，並協助將問題反饋給醫師，不負責執行醫療說明。
The surgeon is legally responsible for explaining the procedure, including risks, benefits, and alternatives, to obtain valid informed consent. The nurse's role is limited to witnessing the signature and verifying that the client is competent and has had the opportunity to ask questions.
✦ 台美臨床差異
台美醫師法規皆規定手術說明為醫療行為。但在台灣臨床實務，護理師常需擔負繁重的衛教補充，有時易混淆解釋責任。