— 照護管理 · HARD · MCQ —
病人已簽署知情同意書，但現在表達不確定。護理師優先採取的行動為何？
A nurse is caring for a client who has signed an Informed Consent form but now expresses uncertainty. What is the nurse’s priority action?
- AAdvise the client that once signed, the consent cannot be withdrawn告知個案一旦簽署，同意書不得撤銷
- BNotify the physician that the client has concerns about the procedure✓ 正解通知醫師個案對該程序有疑慮
- CExplain the risks of the procedure again to the client再次向個案解釋該程序的風險
- DReassure the client that the physician explained everything well安慰個案醫師已充分說明一切
— Explanation · 中文詳解 —
知情同意（Informed consent）不僅是一份法律文件，更是保障病人自主權（Autonomy）的過程。若病人已簽署同意書後表達不確定，護理師必須尊重其猶豫，並意識到這代表病人可能未完全理解風險或對手術意願改變。護理師的角色是確認病人的理解並作為與醫療團隊的橋樑，而非強迫執行，必須通知醫師重新進行諮詢。
Informed consent is a continuous process, and a client retains the right to withdraw or question consent at any time. Because the physician is legally responsible for explaining the procedure and ensuring understanding, the nurse must notify the provider immediately to address the client's concerns and clarify the information.