— 照護管理 · MEDIUM · MCQ —
病人預計進行一項程序但拒絕簽署知情同意書。護理師的優先行動為何？
A client is scheduled for a procedure but refuses to sign the consent form. What is the nurse's priority action?
- ANotify the physician to discuss the patient's concerns✓ 正解通知醫師討論病人的疑慮
- BAsk the hospital chaplain to speak with the patient請醫院牧師與病人談話
- CExplain the potential risks and benefits of the procedure in detail詳細說明該程序的潛在風險與益處
- DCall the family members to convince the patient聯絡家屬說服病人
— Explanation · 中文詳解 —
知情同意（Informed Consent）的法律責任完全在於醫師，醫師必須說明手術風險、利益與替代方案。當病人拒絕簽署時，護理師的角色是「倡導者」（Advocate），應先釐清病人的疑慮，並將這些疑慮告知醫師，由醫師進行進一步說明（A）。護理師不可強迫病人簽署（D），也不可自行代勞進行醫學說明（C）。尋求宗教協助（B）雖可提供心理支持，但無法解決對手術的疑慮，故通知醫師討論才是優先。
The legal responsibility for obtaining informed consent, including explaining risks, benefits, and alternatives, rests solely with the provider. When a client refuses to sign, the nurse acts as an advocate by clarifying the client's concerns and notifying the provider immediately. The nurse must not attempt to explain the procedure or pressure the client into signing.