— 基本照護與舒適 · MEDIUM · MCQ —
病人即將接受手術，下列何者顯示該病人已理解「知情同意」的概念？
A client is scheduled for a surgical procedure. Which statement by the client indicates that they understand the concept of informed consent?
- AI am signing this because the doctor said it is necessary我簽署是因為醫生說這是必要的
- BI am signing this so the nurse can prepare the surgery我簽署是為了讓護理師準備手術
- CI have been told the risks and benefits of the surgery✓ 正解我已經被告知手術的風險和益處
- DMy family has decided that this procedure is best for me我的家人認為這個程序對我最有利
— Explanation · 中文詳解 —
知情同意的核心是病人基於充分資訊（包含風險、利益與替代方案）所作出的自主選擇。C 選項顯示病人已獲知相關資訊。A、D 顯示受權威或他人影響，非自主同意；D 顯示僅將其視為程序文件，缺乏對醫療處置的認知。
Informed consent requires that the client understands the nature of the procedure, its risks, benefits, and alternatives before voluntarily agreeing. A statement indicating awareness of these risks demonstrates that the client has received adequate information to make an autonomous decision. Relying solely on physician authority, family decisions, or viewing consent as a mere administrative step does not fulfill the requirements for true informed consent.
✦ 台美臨床差異
美國非常強調病人自主權；台灣臨床上家屬的意見往往仍對病人的同意權產生極大影響。