— 照護管理 · HARD · MCQ —
病人預計進行手術，護理師發現其對程序感到困惑，應優先採取哪項措施？
A client is scheduled for surgery. The nurse finds the client is confused about the procedure. Which action is the priority?
- AWitness the signing of the consent form見證同意書的簽署
- BExplain the surgery in detail to the client向個案詳細解釋手術內容
- CContact the surgeon to discuss the procedure with the client✓ 正解聯絡外科醫師與個案討論手術程序
- DDelay the surgery until a family member arrives延後手術直到有家屬抵達
— Explanation · 中文詳解 —
知情同意（Informed Consent）是法律與倫理的要求，核心在於病人充分了解手術目的、風險與替代方案。若病人感到困惑，護理師不能越權解釋手術細節，因為這屬於醫師的告知義務。護理師的職責是作為病人的倡導者，聯繫負責醫師親自向病人說明，確保病人是在完全理解的情況下簽署同意書。這能保障病人的自主權，並避免潛在的法律糾紛。
Since the client is confused about the procedure, the nurse must act as an advocate by contacting the surgeon to clarify the information. Informed consent requires the provider to explain risks and benefits, so the nurse should witness the signature but not provide the medical explanation.