— 照護管理 · EASY · MCQ —
護理師的下列哪項行為違反了病人保密原則？
Which of the following actions by the nurse demonstrates a breach of client confidentiality?
- ADocumenting care in the client's electronic health record at the bedside在床邊於病人名子的電子健康紀錄中記錄照護內容
- BProviding a shift report to the oncoming nurse in a private room在私人房間內提供給接班護理師的交班報告
- CSharing a client's diagnosis with a colleague in the hospital cafeteria✓ 正解在醫院餐廳與同事分享病人的診斷
- DDiscussing a client's laboratory results with the attending physician與主治醫師討論病人的檢驗結果
— Explanation · 中文詳解 —
保密原則要求護理師僅在「有必要知道」且「私人環境」下討論病情。醫院餐廳（C）是公共區域，向與治療無關的同事討論病人診斷會導致資訊外洩。與主治醫師討論（D）、床邊紀錄（A）與交班（B）均屬正常醫療運作所需且環境相對安全。
Client confidentiality requires discussing health information only in private settings with individuals directly involved in the client's care. Sharing a diagnosis with a colleague in a public area like a hospital cafeteria breaches privacy protocols, whereas bedside documentation, secure handoffs, and communication with the care team are appropriate practices.
✦ 台美臨床差異
美國 HIPAA 法規極其嚴格，違規罰金極高；台灣雖有醫療法規範，但在公共區域談論病情的文化仍需警惕。