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照護管理 · EASY · MCQ

一位經驗豐富的外科護理師正試圖取得一項非緊急腿部截肢手術的知情同意書。病患簽了字,但隨即說:『我簽名了,但我還是完全不知道他們明天到底要切除哪裡。』護理師的法律義務為何?

An experienced surgical nurse is attempting to obtain informed consent for a non-emergent leg amputation surgery. The client signed the form, but states right after, 'I signed it, but I still have absolutely no idea what they are going to cut off tomorrow.' What is the nurse's legal mandate?

  • AExplain the exact anatomical boundaries of the amputation procedure to the client utilizing a diagram.
    利用圖表向病人解釋截肢手術的確切解剖學範圍。
  • BFile the completed signed document since the actual physical signature satisfies the immediate hospital legal requirement.
    將已簽署完成的文件歸檔,因為實際的物理簽名符合醫院當前的法律要求。
  • CProceed to the operating room and simply allow the anesthesiologist to briefly clarify the surgery right before induction.
    進入手術室,僅讓麻醉醫師在誘導前簡單澄清手術內容。
  • DImmediately pause the process and contact the operating surgeon to return and directly re-explain the surgical procedure.✓ 正解
    立即暫停程序並聯繫主刀醫師返回直接重新解釋手術過程。
Explanation · 中文詳解

本題測驗知情同意書的界線。即使紙本簽了名,如果病患展現出對手術『完全沒有理解』,這份簽名在法律上就是無效的。護理師絕對不能代替外科醫師去解釋手術細節(選項 A 越權),必須立刻暫定流程,並請主治醫師親自回來將細節重新解釋到病患懂為止(選項 D 正確)。

Informed consent is invalid if the client does not understand the procedure, regardless of the signature on the form. The nurse must act as a client advocate by halting the process and contacting the surgeon to return and re-explain the details until the client demonstrates adequate comprehension.

✦ 台美臨床差異

Informed Consent。護士只能確認簽名是病患本人,只要病患對手術有疑問,護理唯一解就是叫醫生回來重講。

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